Information Collection

Sample Format For Reporting Detection Monitoring Data, Domestic Licensing Of Source Material -- 10 Cfr 40

IC 156034 under ICR 199301-3150-002 · OMB 3150-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0020 can be found here:

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Information Collection (IC) Details

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IC Title:	SAMPLE FORMAT FOR REPORTING DETECTION MONITORING DATA, DOMESTIC LICENSING OF SOURCE MATERIAL -- 10 CFR 40	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC 484				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,499	1,499
Annual IC Time Burden (Hours)	14,988	14,988
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.