Information Collection

NRC Form 398, ''Personal Qualification Statement- Licensee"

IC 279114 under ICR 202604-3150-002 · OMB 3150-0276.

Documents and Forms

Document Name Document Type
Form NRC Form 398 Personal Qualification Statement - Licensee NRC Form 398, ''Personal Qualification Statement- Licensee" Form and Instruction
NRC Form 398 Personal Qualification Statement - Licensee NRC Form 398 - Personal Qualification Statement (Part 53 Rulemaking).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 398, ''Personal Qualification Statement- Licensee"	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 55

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 398	Personal Qualification Statement - Licensee	NRC Form 398 - Personal Qualification Statement (Part 53 Rulemaking).pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title: NRC 16 - Facility Operator Licensees Records (10 CFR Part 55)	FR Citation: 87 FR 71536

Number of Respondents: 2	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	108	108
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.

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