Information Collection

10 CFR 26, Fitness for Duty Program

IC 33422 under ICR 201201-3150-004 · OMB 3150-0146.

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IC Title:	10 CFR 26, Fitness for Duty Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 26

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 89,510	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 70 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	521,919	0	521,919
Annual IC Time Burden (Hours)	667,081	257	666,824
Annual IC Cost Burden (Dollars)	86,398	0	86,398

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