Report of Proposed Activities in Non-Agreement States

Forms and Documents

Document Name	Status
Form NRC Form 241 Report of Proposed Activities in Non-Agreement States Form	Modified
FINAL SS for NRC Form 241 (10-27-08).doc Supporting Statement A	2008-10-27

IC Document Collections

IC ID	Document Title	Status
33181	Report of Proposed Activities in Non-Agreement States Form	Modified

ICR Details

OMB Control No: 3150-0013	ICR Reference No: 200806-3150-008
Status: Historical Active	Previous ICR Reference No: 200507-3150-001
Agency/Subagency: NRC	Agency Tracking No:
Title: Report of Proposed Activities in Non-Agreement States
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/03/2008
	Date Received in OIRA: 06/26/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	36 Months From Approved	10/31/2008
Responses	2,188	0	3,963
Time Burden (Hours)	582	0	1,033
Cost Burden (Dollars)	0	0	0

---

Abstract: Any Agreement State licensee who engages in the use of radioactive material in non-Agreement States, areas of exclusive Federal jurisdiction, or offshore waters, under the general license in Section 150.20, is required to file, with the NRC regional administrator for the region in which the Agreement State that issues the license is located, a copy of NRC Form 241 (“Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters”), a copy of its Agreement State specific license, and the appropriate fee as prescribed in Section 170.31 at least 3 days before engaging in such activity. This mandatory notification permits NRC to schedule inspections of the activities to determine whether the activities are being conducted in accordance with requirements for protection of the public health and safety.

---

Authorizing Statute(s): PL: Pub.L. 83 - 703 1-311 Name of Law: Atomic Energy Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 14848	03/19/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 36129	06/25/2008
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Report of Proposed Activities in Non-Agreement States	NRC Form 241	Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters

---

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	2,188	3,963	0	-1,775	0	0
Annual Time Burden (Hours)	582	1,033	0	-451	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: Miscellaneous Actions

Short Statement: The NRC reviewed the actual number of responses received during the last 3 years and found that the number of forms submitted was lower than previously estimated. An average of 2,188 forms were filed annually, rather than the previous estimate of 3,963 forms, an overall reduction of 1,775 forms. The number of initial submissions decreased from 167 to 140 (a reduction of 27 forms and 14 hours); the number of revisions decreased from 600 to 412 (a reduction of 188 forms and 47 hours); and the number of clarifications decreased from 3,196 to 1,636 (a reduction of 1,560 forms and 390 hours). As a result of the reduction in the estimated number of forms filed annually, the overall burden estimate has decreased from 1,033 to 582 hours, a net reduction of 451 hours.

---

Annual Cost to Federal Government: $98,056

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

---

Common Form ICR:  No

---

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: 06/26/2008

---