Information Collection

NRC Form 212A, Qualifications Investigation, Secretarial/Clerical

IC 33258 under ICR 201011-3150-002 · OMB 3150-0034.

Documents and Forms

Document Name Document Type
Form NRC Form 212A NRC Form 212A, Qualifications Investigation, Secretarial/Clerical Form
NRC Form 212A Qualifications Investigation, Secretarial/Clerical NRC Form 212A.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: Modified

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	NRC Form 212A	Qualifications Investigation, Secretarial/Clerical	NRC Form 212A.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

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	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	100	100
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.