NRC Form 5 is used to record and report the results of individual monitoring for occupational radiation exposure during a one-year (calendar year) period to ensure regulatory compliance with annual radiation dose limits.
The Nuclear Regulatory Commission (NRC) amended its regulations to include jurisdiction over discrete sources of radium-226, accelerator-produced radioactive materials, and discrete sources of naturally occurring radioactive material, as required by the Energy Policy Act of 2005 (EPAct), which was signed into law on August 8, 2005. This provides a regulatory framework by which to license and regulate byproduct material in accordance with the new, expanded definition. The amended regulations impacted numerous existing information collections. The NRC packaged all of the impacted information collections into one new information collection which OMB approved and assigned control number 3150-0203.
The clearance affecting this 83-C is NRC Form 5, ÂOccupational Exposure Record for a Monitoring Period, which is currently covered under OMB Clearance 3150-0006. This form is used by licensees to record the occupational exposure of each individual monitored for radiation exposure at the licensed facility.
The purpose of this 83-C is to transfer burden from OMB Clearance 3150-0203, Â10 CFR Parts 20, 30, 31, 32, & 35, Requirements for Expanded Definition of Byproduct Material, Final Rule and NRC Forms 4, 5, 313, 314, & 664, to OMB Clearance 3150-0006, Occupational Exposure Record for a Monitoring Period, which was contained in the final approved on 8/23/07. NRC Form 5 is used by licensees to record the occupational exposure of each individual monitored for radiation exposure at the licensed facility. Once the entire burden for 3150-0203 has been transferred to the correct clearances, we will submit an 83-D to discontinue 3150-0203. A total of 1,031 hours will be transferred to 3150-0006, resulting in a revised total burden of 66,649 hours.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form NRC Form 5 NRC Form 5, Occupational Exposure Record for a Monitoring Period
83-C Justification 2009 Form 5 Rev [2].doc
NRC Form 5, Occupational Exposure Record for a Monitoring Period