Information Collection

NRC Form 366, "Licensee Event Report"

IC 33348 under ICR 202604-3150-009 · OMB 3150-0104.

Documents and Forms

Document Name Document Type
Form NRC Form 366 Licensee Event Report NRC Form 366, "Licensee Event Report" Form and Instruction
Form NRC Form 366A Licensee Event Report Continuation Sheet NRC Form 366, "Licensee Event Report" Form
Form NRC Form 366B Licensee Event Report Failure Continuation Sheet NRC Form 366, "Licensee Event Report" Form
NRC Form 366 Licensee Event Report NRC Form 366 - Licensee Event Report (Part 53 Rulemaking).pdf Form and Instruction
NRC Form 366A Licensee Event Report Continuation Sheet NRC Form 366A - Licensee Event Report Continuation Sheet (Part 53 Rulemaking).pdf Form
NRC Form 366B Licensee Event Report Failure Continuation Sheet NRC Form 366B - Licensee Event Report Failure Continuation Sheet (Part 53 Rulemaking).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 366, "Licensee Event Report"	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 50

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NRC Form 366	Licensee Event Report	NRC Form 366 - Licensee Event Report (Part 53 Rulemaking).pdf	Yes	Yes	Fillable Fileable
Form	NRC Form 366A	Licensee Event Report Continuation Sheet	NRC Form 366A - Licensee Event Report Continuation Sheet (Part 53 Rulemaking).pdf	Yes	Yes	Fillable Fileable
Form	NRC Form 366B	Licensee Event Report Failure Continuation Sheet	NRC Form 366B - Licensee Event Report Failure Continuation Sheet (Part 53 Rulemaking).pdf	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 94	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	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	20,000	20,000
Annual IC Cost Burden (Dollars)	464	464

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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