Information Collection

Domestic Licensing of Source Material -- 10 CFR 40 and Domestic Monitoring Data Report -- NRC Form 484

IC 33218 under ICR 199705-3150-002 · OMB 3150-0020.

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Information Collection (IC) Details

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IC Title:	Domestic Licensing of Source Material -- 10 CFR 40 and Domestic Monitoring Data Report -- NRC Form 484	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	484				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 328	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	841	0	841
Annual IC Time Burden (Hours)	72,549	50,960	21,589
Annual IC Cost Burden (Dollars)	0	0	0

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