NRC Forms 850A "Request for NRC Contractor Building Access," 850B "Request for NRC Contractor Information Technology Access Authorization," and 850C "Request for NRC Contractor Security Clearance"
ICR 201308-3150-004 · OMB 3150-0218 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3150-0218 can be found here:
NRC Forms 850A "Request for NRC Contractor Building Access," 850B "Request for NRC Contractor Information Technology Access Authorization," and 850C "Request for NRC Contractor Security Clearance"
Existing collection in use without an OMB Control Number
In accordance with 5 CFR 1320, the information collection is approved for three years. The agency PRA office is reminded to have in place the appropriate levels of communication with program staff to ensure that information collections are submitted to OMB for approval prior to collecting any information from the public.
Inventory as of this Action
Requested
Previously Approved
03/31/2017
36 Months From Approved
500
0
0
85
0
0
0
0
0
10 CFR Part 10, "Criteria and Procedures for Determining Eligibility for Access to Restricted Data or National Security Information or an Employment Clearance," establishes requirements that individuals requiring an access authorization and/or employment clearance must have an investigation of their background. NRC Forms 850A, 850B, and 850C will be used by the NRC to obtain information on NRC contractors, subcontractors, and other individuals who are not NRC employees and require access to NRC buildings, IT systems, sensitive information, sensitive unclassified information, or classified information.
EO: EO 12968 Name/Subject of EO: Access to Classified Information
EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employment
EO: EO 13488 Name/Subject of EO: Granting Reciprocity on Excepted Service and Federal Contractor Employee Fitness...
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 850C NRC Forms 850A, 850B, and 850C
Final SS for NRC Form 850 Series.doc
NRC Forms 850A, 850B, and 850C