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"claim For Bodily Injury, Death Or Damage To, Or Loss Of Property Under Section 167, Atomic Energy Act Of 1954"
"CLAIM FOR BODILY INJURY, DEATH OR DAMAGE TO, OR LOSS OF PROPERTY UNDER SECTION 167, ATOMIC ENERGY ACT OF 1954"
OMB: 1901-0003
IC ID: 135688
OMB.report
DOE/ENDEP
OMB 1901-0003
ICR 198103-1901-001
IC 135688
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
"CLAIM FOR BODILY INJURY, DEATH OR DAMAGE TO, OR LOSS OF PROPERTY UNDER SECTION 167, ATOMIC ENERGY ACT OF 1954"
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NV-713
No
No
Form
(PREVIOUSLY
No
No
Form
NV-DOE-369)
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
140
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
140
0
140
0
0
0
Annual IC Time Burden (Hours)
140
0
140
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.