Information Collection

NRC Form 850, Request for Contractor Assignment(s)

IC 209500 under ICR 202002-3150-002 · OMB 3150-0218.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0218 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 850 NRC Form 850, Request for Contractor Assignment(s) Form and Instruction
NRC Form 850 Request for Contractor Assignment(s) NRC 850 (OMB Copy).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 850, Request for Contractor Assignment(s)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 10 CFR 10

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NRC Form 850	Request for Contractor Assignment(s)	NRC 850 (OMB Copy).pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: NRC-39, Personnel Security Records and Associated Files	FR Citation: 81 FR 31348

Number of Respondents: 500	Number of Respondents for Small Entity: 230

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

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	85	85
Annual IC Cost Burden (Dollars)	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.