OMB Control No: 3150-0203
ICR Reference No:
200707-3150-007
Status: Historical Active
Previous ICR Reference No:
Agency/Subagency: NRC
Agency Tracking No:
Title: 10 CFR Parts 20, 30, 31, 32,
& 35, "Requirements for Expanded Definition of Byproduct
Material," Final Rule, and NRC Forms 4, 5, 313, 314 & 664
Type of Information Collection: New
collection (Request for a new OMB Control Number)
Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved
without change
Conclusion Date: 08/23/2007
Retrieve
Notice of Action (NOA)
Date Received in OIRA:
07/25/2007
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2010
36 Months From Approved
Responses
5,045
0
0
Time Burden (Hours)
120,888
0
0
Cost Burden (Dollars)
0
0
0
Abstract: The collection provides information
for licensing and compliance with licensing for disrete sources of
radium-226, accelerator-produced radioactive materials, and
discrete sources of naturally occurring radioactive material, as
required by the Energy Policy Act of 2005 (EPAct).
Authorizing Statute(s): PL:
Pub.L. 109 - 58 119 STAT. 594 Name of Law: Energy Policy Act of
2005
Citations for New Statutory
Requirements: PL: Pub.L. 109 - 58 119 STAT 594 Name of Law:
Energy Policy Act of 2005
Associated Rulemaking
Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
3150-AH84
Final or interim final rulemaking
71 FR
42951
07/28/2006
Federal Register Notices &
Comments
60-day Notice:
Federal Register Citation:
Citation Date:
71 FR
42951
07/28/2006
Did the Agency receive public comments on
this ICR? No
Number of Information Collection (IC) in this
ICR: 19
IC Title
Form No.
Form Name
10 CFR Part 32
(3150-0001 NRC Licensees)
10 CFR Part 32
(3150-0001 Agreement State Licensees)
10 CFR Part 20
(3150-0014)
10 CFR Part 35
(3150-0010 NRC Licensees)
NRC Form 4 (3150-0005
NRC Licensees RK Burden)
NRC Form 4
Cumulative
Occupational Dose History
NRC Form 314
(3150-0028 NRC Licensees)
NRC Form 314
Certificate of
Disposition of Materials
10 CFR Part 35
(3150-0010 Agreement State Licensees)
NRC Form 664
(3150-0198 Agreement State Licensees)
NRC Form 664
General Licensee
Registration
10 CFR Part 19 (
3150-0044)
NRC Form 313 and 313A
(3150-0120 Agreement State Licensees)
NRC Form 313, NRC Form 313A (AMP), NRC Form 313A (RSO), NRC
Form 313A (AUD), NRC Form 313A (ANP), NRC Form 313A (AUS), NRC Form
313A (AUT)
Authorized Medical
Physicist Training and Experience and Preceptor Attestation ,
Authorized
Nuclear Pharmacist Training and Experience and Preceptor
Attestation , Authorized User Training and
Experience and Preceptor Attestation , Authorized User Training and
Experience and Preceptor Attestation , Authorized User Training and
Experience and Preceptor Attestation , Radiation Safety Officer
Training and Experience and Preceptor Attestation ,
Application for Material
License
NRC Form 664
(3150-0198 NRC Licensees)
NRC Form 664
General Licensee
Registration
NRC Form 4 (3150-0005
Agreement State Licensees RK Burden)
NRC Form 4
Cumulative
Occupational Dose History
NRC Form 313 and 313A
(3150-0120 NRC Licensees)
NRC Form 313A (ANP), NRC Form 313A (RSO), NRC Form 313A (AUD),
NRC Form 313, NRC Form 313A (AMP), NRC Form 313A (AUS), NRC Form
313A (AUT)
Application for
Material License , Authorized Medical Physicist
Training and Experience and Preceptor Attestation ,
Authorized Nuclear
Pharmacist Training and Experience and Preceptor Attestation ,
Authorized User
Training and Experience and Preceptor Attestation ,
Authorized User Training
and Experience and Preceptor Attestation , Authorized User Training and
Experience and Preceptor Attestation , Radiation Safety Officer
Training and Experience and Preceptor Attestation
10 CFR Part 30
(3150-0017 NRC Licensees)
NRC Form 5 (3150-0006
NRC Licensees)
NRC Form 5
Occupational Dose
Record For A Monitoring Period
10 CFR Part 31
(3150-0016 NRC Licensees)
10 CFR Part 30
(3150-0017 Agreement State Licensees)
10 CFR Part 31
(3150-0016 Agreement State Licensees)
NRC Form 5 (3150-0006
Agreement State Licensees)
NRC Form 5
Occupational Dose
Record For A Monitoring Period
ICR Summary of Burden
Total Approved
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
5,045
0
5,045
0
0
0
Annual Time Burden (Hours)
120,888
0
120,888
0
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: No
Burden Reduction Due to:
Short Statement: The Energy Policy Act of 2005
required regulation of discrete radium-226 sources or
accelerator-produced radioactive material used for commercial,
medical, or research activities.
Annual Cost to Federal Government:
$1,173,433
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
Agency Contact: Kevin O'Sullivan 301 415-8112
kro2@nrc.gov