Information Collection

NRC Survey

IC 201619 under ICR 201006-1513-001 · OMB 1513-0124.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0124 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5700.04 NRC Survey Form
TTB F 5700.04 NRC Survey - Claimants TTB_F_5700.04 NRC Survey Claimants.pdf Form
TTB F 5700.05 NRC Survey - Applicants (Original) TTB_F_5700.05 NRC Survey Applicants (Original).pdf Form
TTB F 5700.06 NRC Survey - Applicants (Amendments) TTB_F_5700.06 NRC Survey Applicants (Amend).pdf Form
TTB F 5700.07 NRC Survey - PONL Applicants (Original) TTB_F_5700.07 NRC Survey POL Applicants (Original).pdf Form
TTB F 5700.08 NRC Survey - PONL Applicants (Amendments) TTB_F_5700.08 NRC Survey PONL Applicants (Amend).pdf Form
1513-0124 Justification 03-12-12.doc Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	TTB F 5700.04	NRC Survey - Claimants	TTB_F_5700.04 NRC Survey Claimants.pdf	No	Paper Only
Form	TTB F 5700.05	NRC Survey - Applicants (Original)	TTB_F_5700.05 NRC Survey Applicants (Original).pdf	No	Paper Only
Form	TTB F 5700.06	NRC Survey - Applicants (Amendments)	TTB_F_5700.06 NRC Survey Applicants (Amend).pdf	No	Paper Only
Form	TTB F 5700.07	NRC Survey - PONL Applicants (Original)	TTB_F_5700.07 NRC Survey POL Applicants (Original).pdf	No	Paper Only
Form	TTB F 5700.08	NRC Survey - PONL Applicants (Amendments)	TTB_F_5700.08 NRC Survey PONL Applicants (Amend).pdf	No	Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,220	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,220	3,220
Annual IC Time Burden (Hours)	805	805
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	1513-0124 Justification 03-12-12.doc	03/29/2012

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