IMPEP Viewpoint Surveys for Team Members and Program Directors

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0217 can be found here:

Documents and Forms

Document Name Document Type
Program Director IMPEP Viewpoint survey.pdf Other-Electronic Survey
Team Member IMPEP Viewpoint survey.pdf Other-Electronic survey
IMPEP survey notification letter.docx Other-Notification letter
NRC Form 671 Team Members IMPEP survey.pdf Generic Submission Template for Team Member IMPEP Viewpoint Survey IC Document
NRC Form 671 Program Director IMPEP survey.pdf Generic Submission Template for Program Directors IMPEP Viewpoint Survey IC Document

Information Collection (IC) Details

IC Title:	IMPEP Viewpoint Surveys for Team Members and Program Directors	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Electronic Survey	Program Director IMPEP Viewpoint survey.pdf	Yes	Yes	Fillable Fileable
Other-Electronic survey	Team Member IMPEP Viewpoint survey.pdf	Yes	Yes	Fillable Fileable
Other-Notification letter	IMPEP survey notification letter.docx	No		Paper Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Submission Template for Team Member IMPEP Viewpoint Survey	NRC Form 671 Team Members IMPEP survey.pdf	03/03/2016
Generic Submission Template for Program Directors IMPEP Viewpoint Survey	NRC Form 671 Program Director IMPEP survey.pdf	03/03/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.