NRC Form 396, Certification of Medical Examination by Facility Licensee
Extension without change of a currently approved collection
No
Regular
06/01/2022
Requested
Previously Approved
36 Months From Approved
09/30/2022
1,778
1,757
2,063
2,196
48
0
NRC Form 396 is used to transmit information to the NRC regarding the medical condition of applicants for initial operator licenses or renewal of operator licenses and for the maintenance of medical records for all licensed operators. The information is used to determine whether the physical condition and general health of applicants for operator licensees is such that the applicant would not be expected to cause operational errors and endanger public health and safety.
The burden for the information collection decreased from 2,196 hours to 2,063 hours, a decrease of 133 hours. The number of total responses overall has decreased from 1,882 (1,757 responses + 125 recordkeepers) to 1,778 (1,650 Responses + 128 Recordkeepers), a decrease of 104 responses. However, due to a data entry oversight in the previous cycle, recordkeepers were not included in the total number of responses, therefore ROCIS totals show an increase of 21 responses in this submission.
NRC Form 396 is the mechanism by which NRC is advised of the applicant/operator general health and physical condition, and when a facility and/or individual is no longer subject to the requirements of 10 CFR Part 55, they will no longer submit NRC Form 396. Therefore, the decrease in projected submissions is due to the decrease in licensed individuals and operating reactor plants being subject to Part 55 requirements.
There is a projected minimal increase in respondents up from 125 (94 operating reactors + 31 research and test reactor facilities) in the prior cycle to 128 (89 operating reactors + 31 research and test reactor facilities + 8 combined operating license holders), this increase is due to the addition of eight Combined Operating License Holders who are subjected to the requirements of 10 CFR Part 55 and a reduction of 5 operating reactor facilities no longer licensed and are not subject to the requirements of 10 CFR Part 55.
There is an approximately 50% increase in NRC Contractor Licensed Physician review fee per form per agreed contract.
There is a minimal increase in projected disability submissions, up 10 submissions annually from 530 in the prior cycle to 540 for this cycle. Staff believes this is a reasonable projection in line with current health trend data.
Additionally, NRC currently uses the EIE, OSM, facsimile, or e-mail to deliver NRC Form 396s and receive the completed medical reviews from the NRC Contractor. The agency no longer uses mailing/shipping services to deliver forms to the NRC Contractor, which eliminated the prior mailing/shipping costs.
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 396 NRC Form 396, Certification of Medical Examination by Facility Licensee
2022 renewal - Final SS for Form 396 (002).docx
NRC-2021-0150-0002_content (3).pdf
NRC Form 396, Certification of Medical Examination by Facility Licensee