In accordance with 5 CFR 1320, this information collection is approved for 3 years.
Inventory as of this Action
Requested
Previously Approved
11/30/2023
36 Months From Approved
11/30/2020
241,014
0
227,841
65,954
0
30,348
6,533
0
2,492
The NRC Form 4 is used to record the summary of an occupational workerâs cumulative occupational radiation dose, including prior occupational exposure and the current yearâs occupational radiation exposure. The NRC Form 4 is used by licensees, and inspected by the NRC, to ensure that occupational radiation doses do not exceed the regulatory limits specified in 10 CFR 20.1501.
The estimated burden has increased by 35,606 hours from the previous burden of 30,348 hours to 65,954 hours.
The burden increase is primarily due to an increase in the number of records that fell under the recordkeeping burden. Previous burden estimates have assumed the recordkeeping burden was only for records subject to 10 CFR 20.2206(a). However, licensees not subject to 10 CFR 20.2206(a) must still maintain these records using a NRC Form 4 or its equivalent. The NRC staff has corrected this in the current submission. In the current estimates all records are included under the recordkeeping. As a result, the number of records that fell under the recordkeeping burden increased from 168,751 to 234,988.
In addition, in the previous clearance, based on REIRS data, NRC estimated that licensees would maintain NRC Form 4, or its equivalent, records for 40,681 transient workers. A review of recent REIRS data shows that as of June 2019, licensees-maintained NRC Form 4, or its equivalent, records for an average of 47,926 transient workers annually. Recordkeeping burden increased from 23,508 hours to 58,787 hours.
NRC staff adjusted recordkeeping burden estimates for Form 4. The previous recordkeeping burden was estimated to be 35 minutes. This estimate assumed that a person would be manually entering the dose record information into the NRC Form 4. With electronic software more readily available and more commonly used to manage dose records, this estimate was determined to be too conservative. A new estimate of 15 minutes is more representative of current record management processes.
It should be noted that the NRC does not anticipate any planned special exposures during the next three years.
Additional costs associated with records storage have increased from $2,492 to $6,533 (an increase of $4,041) due to an increase in the recordkeeping burden and an increase in the fee rate used to calculate the costs. The fee rate has increased from $265 to $278 per hour.
$139,834
No
No
No
No
No
No
No
Minh-Thuy Nguyen 301 415-7000
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form NRC Form 4 NRC Form 4, Cumulative Occupational Dose History
FINAL supporting statement for NRC Form 4.docx
NRC Form 4, Cumulative Occupational Dose History