Information Collection

NRC Form 313 and 313A (3150-0120 Agreement State Licensees)

IC 181283 under ICR 200707-3150-007 · OMB 3150-0203.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0203 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 313A (AMP NRC Form 313 and 313A (3150-0120 Agreement State Licensees) Form
NRC Form 313 Application for Material License nrc313.pdf Form
NRC Form 313A (AMP Authorized Medical Physicist Training and Experience and nrc313a(amp).pdf Form
NRC Form 313A (ANP Authorized Nuclear Pharmacist Training and Experience an nrc313a(anp).pdf Form
NRC Form 313A (AUD Authorized User Training and Experience and Preceptor At nrc313a(aud).pdf Form
NRC Form 313A (AUS Authorized User Training and Experience and Preceptor At nrc313a(aus).pdf Form
NRC Form 313A (AUT Authorized User Training and Experience and Preceptor At nrc313a(aut).pdf Form
NRC Form 313A (RSO Radiation Safety Officer Training and Experience and Pre nrc313a(rso).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 30 10 CFR 32 10 CFR 33 10 CFR 34 10 CFR 35 10 CFR 36 10 CFR 39 10 CFR 40

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	NRC Form 313A (AMP)	Authorized Medical Physicist Training and Experience and Preceptor Attestation	nrc313a(amp).pdf	No	Fillable Fileable
Form	NRC Form 313A (ANP)	Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation	nrc313a(anp).pdf	No	Fillable Fileable
Form	NRC Form 313A (AUD)	Authorized User Training and Experience and Preceptor Attestation	nrc313a(aud).pdf	No	Fillable Fileable
Form	NRC Form 313A (AUS)	Authorized User Training and Experience and Preceptor Attestation	nrc313a(aus).pdf	No	Fillable Fileable
Form	NRC Form 313A (AUT)	Authorized User Training and Experience and Preceptor Attestation	nrc313a(aut).pdf	No	Fillable Fileable
Form	NRC Form 313A (RSO)	Radiation Safety Officer Training and Experience and Preceptor Attestation	nrc313a(rso).pdf	No	Fillable Fileable
Form	NRC Form 313	Application for Material License	nrc313.pdf	No	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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