NRC Form 4, Cumulative Occupational Exposure History

Forms and Documents

Document Name	Status
Form NRC 4 NRC Form 4, Cumulative Occupational Exposure History Form	Modified
10 CFR 19 20 50, Occ Dose Rcds, Lblg Containers PR ss 11-2006 rev.wpd Supporting Statement A	2006-12-04

IC Document Collections

IC ID	Document Title	Status
33127	NRC Form 4, Cumulative Occupational Exposure History Form	Modified

ICR Details

OMB Control No: 3150-0005	ICR Reference No: 200612-3150-001
Status: Historical Inactive	Previous ICR Reference No: 200408-3150-002
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 4, Cumulative Occupational Exposure History
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 03/01/2007
	Date Received in OIRA: 12/05/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	09/30/2007	11/30/2007
Responses	24,335	0	24,352
Time Burden (Hours)	3,332	0	12,176
Cost Burden (Dollars)	0	0	0

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Abstract: NRC Form 4 is used to record the summary of an individual's cum- ulative occupational radiation dose up to and including the current year to ensure that the dose does not exceed regulatory limits. The proposed rule provisions would reduce the burden for NRC Form 4 by 8,844 hours from 12,176 hours to 3,332 hours by eliminating the need to provide cumulative occupational dose history reports except for planned special exposures.

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Authorizing Statute(s): PL: Pub.L. 83 - 703 66 Stat. 919 Name of Law: Atomic Energy Act of 1954
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3150-AH40	Proposed rulemaking	71 FR 55382	09/22/2006

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 55382	09/22/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NRC Form 4, Cumulative Occupational Exposure History	NRC 4	NRC Form 4, Cumulative Occupational Dose History

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	24,335	24,352	0	-17	0	0
Annual Time Burden (Hours)	3,332	12,176	0	-8,844	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: The proposed rule provisions would reduce the burden for NRC Form 4 by 8,844 hours from 12,176 hours to 3,332 hours by eliminating the need to provide cumulative occupational dose history reports except for planned special exposures.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/05/2006

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