Information Collection

NRC Form 171, "Duplication Request"

IC 33332 under ICR 201811-3150-003 · OMB 3150-0066.

Documents and Forms

Document Name Document Type
Form NRC 171 NRC Form 171, "Duplication Request" Form
NRC 171 Duplication Request NRC Form 171 Duplication Request.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 171	Duplication Request	NRC Form 171 Duplication Request.pdf		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74	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	74	-34	108
Annual IC Time Burden (Hours)	6	-3	9
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.