Information Collection

NRC Form 840 Non-NRC Participant Course Feedback Form and NRC Alternate Dispute Resolution Program Participant Questionnaire

IC 224487 under ICR 201312-3150-004 · OMB 3150-0217.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0217 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 840 NRC Form 840 Non-NRC Participant Course Feedback Form and NRC Alternate Dispute Resolution Program Participant Questionnaire Form
Alternative Dispute Resolution Participant Questionnaire.docx Other-Questionnaire
NRC Form 840 Non-NRC Participant Course Feedback Form NRC 840 Non-NRC Partcipant Course Feedback Form.pdf Form
Generic submission template for Course Feedback Form.pdf Generic submission template for NRC Form 840, Course Feedback Form IC Document
Generic submission template for ADR participant questionnaire.pdf Generic submission template for Alternate Dispute Resolution IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 840 Non-NRC Participant Course Feedback Form and NRC Alternate Dispute Resolution Program Participant Questionnaire	Agency IC Tracking Number:

IC Status: New

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 840	Non-NRC Participant Course Feedback Form	NRC 840 Non-NRC Partcipant Course Feedback Form.pdf		No		Paper Only
Other-Questionnaire			Alternative Dispute Resolution Participant Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,300	1,300
Annual IC Time Burden (Hours)	254	254
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic submission template for NRC Form 840, Course Feedback Form	Generic submission template for Course Feedback Form.pdf	11/21/2016
Generic submission template for Alternate Dispute Resolution	Generic submission template for ADR participant questionnaire.pdf	11/22/2016

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