Information Collection

NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions

IC 33255 under ICR 202004-3150-004 · OMB 3150-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0033 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 212 NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions Form
NRC Form 212 Qualifications Investigation Professional, Technical, an NRC Form 212.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 212	Qualifications Investigation Professional, Technical, and Administrative Positions	NRC Form 212.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	500	-500	1,000
Annual IC Time Burden (Hours)	250	-250	500
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.