Information Collection

NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card

IC 33486 under ICR 201011-3150-005 · OMB 3150-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0190 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 628 NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card Form
NRC Form 628 Financial EDI Authorization nrc628.pdf Form
NRC Form 629 Authorization for Payment by Credit Card nrc629.pdf www.nrc.gov/reading-rm/doc-collections/forms/nrc629.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 628	Financial EDI Authorization	nrc628.pdf		Yes	Yes	Fillable Fileable
Form	NRC Form 629	Authorization for Payment by Credit Card	nrc629.pdf	http://www.nrc.gov/reading-rm/doc-collections/forms/nrc629.pdf	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 583	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	583	117	466
Annual IC Time Burden (Hours)	47	9	38
Annual IC Cost Burden (Dollars)	0	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.