Information Collection

NRC Form 212A, Qualifications Investigation, Secretarial/Clerical

IC 33258 under ICR 200407-3150-003 · OMB 3150-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0034 can be found here:

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Information Collection (IC) Details

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IC Title:	NRC Form 212A, Qualifications Investigation, Secretarial/Clerical	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	212A				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	100	300
Annual IC Time Burden (Hours)	100	25	75
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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