NRC Form 749, "Manual License Verification Report."

OMB Control No: 3150-0223	ICR Reference No: 201403-3150-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 749, "Manual License Verification Report."
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/29/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/25/2014
Terms of Clearance: The agency is reminded to consult on the information collection prior to submission for review per 5 CFR 1320.8(d)(1). Per 5 CFR 1320.8, the agency is reminded that each collection of information should state whether it is mandatory or voluntary

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved
Responses	91	0	0
Time Burden (Hours)	12	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: When a licensee is unable to use the License Verification System to perform their license verification prior to transfer, a manual process has been developed; in which licensees submit the NRC Form 749, "Manual License Verification Report." The form provides the information necessary for the issuing agencies to perform the verification on behalf of the transferring licensee.

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Authorizing Statute(s): PL: Pub.L. 83 - 703 161c Name of Law: Atomic Energy Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 67204	11/08/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 11832	03/03/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name NRC Form 749, Manual License Verification Report NRC Form 749 Manual License Verification Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	91	0	0	91	0	0
Annual Time Burden (Hours)	12	0	0	12	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This submission represents a new collection to implement the information collection requirements in 37.71(a), (b), & (c). The requirements in 37.71(a), (b), & (c) were approved by OMB on April 9, 2013. This submission provides information about the manual license verification forms that will be used to fulfill the license verification requirement in the event the licensee is unable to use the License Verification System. The information provided by licensees will ensure that only authorized licensees obtain radioactive materials in authorized amounts. The collection will allow the NRC or Agreement State to confirm that (1) a license is valid and accurate, (2) a licensee is authorized to acquire quantities and types of radioactive materials, and (3) that the licensee is authorized to receive radioactive material at the location requested for delivery.

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Annual Cost to Federal Government: $25,469

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Angela Randall 301 415-6806

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 03/25/2014

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