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Occupational Radiation Protection Program
Occupational Radiation Protection Program
OMB: 1910-5105
IC ID: 23425
OMB.report
DOE/DOEOA
OMB 1910-5105
ICR 200712-1910-001
IC 23425
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5105 can be found here:
2014-02-10 - Extension without change of a currently approved collection
2011-01-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Occupational Radiation Protection OMB Table 3.doc
Occupational radiation Protection Table 3
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Occupational Radiation Protection Program
Agency IC Tracking Number:
Kathy Murphy-HSS
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
10 CFR 835
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
50,000
0
0
0
0
50,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Occupational radiation Protection Table 3
Occupational Radiation Protection OMB Table 3.doc
12/19/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.