Information Collection

NRC Form 171, "Duplication Request"

IC 33332 under ICR 201511-3150-006 · OMB 3150-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0066 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 171 NRC Form 171, "Duplication Request" Form
NRC Form 171 Duplication Requesy NRC 171 PS.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 171, "Duplication Request"	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 9.21(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 171	Duplication Requesy	NRC 171 PS.pdf		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 108	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	108	-92	200
Annual IC Time Burden (Hours)	9	-8	17
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.