Information Collection

NRC Form 366, Licensee Event Report

IC 33348 under ICR 201612-3150-002 · OMB 3150-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0104 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 366A NRC Form 366, Licensee Event Report Form
NRC Form 366A Licensee Event Report NRC 366A (MM-DD-YYYY).pdf Form
NRC Form 366B Licensee Event Report NRC 366B (MM-DD-YYYY).pdf Form
NRC Form 366 Licensee Event Report NRC 366 (OMB Copy) (MM-DD-YYYY).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 366, Licensee Event Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 50

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 366A	Licensee Event Report	NRC 366A (MM-DD-YYYY).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 366B	Licensee Event Report	NRC 366B (MM-DD-YYYY).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 366	Licensee Event Report	NRC 366 (OMB Copy) (MM-DD-YYYY).pdf	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	542	35	507
Annual IC Time Burden (Hours)	35,360	-8	35,368
Annual IC Cost Burden (Dollars)	758	-20	778

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.