NRC Form 64, Travel Voucher (Part 1); NRC Form 64A, Travel Voucher (Part 2), Schedule of Expenses and Amount Claimed; and NRC Form 64B, Optional Travel Voucher (Part 2)

Forms and Documents

Document Name	Status
Form NRC Form 64, Form NRC Form 64, Travel Voucher (Part 1); NRC Form 64A, Travel Voucher (Part 2), Schedule of Expenses and Amount Claimed; and NRC Form 64B, Optional Travel Voucher (Part 2) Form and Instruction	Modified
Final Supporting Statement for NRC Form 64 and 64A.pdf Supporting Statement A	2017-08-22

IC Document Collections

IC ID	Document Title	Status
33490	NRC Form 64, Travel Voucher (Part 1); NRC Form 64A, Travel Voucher (Part 2), Schedule of Expenses and Amount Claimed; and NRC Form 64B, Optional Travel Voucher (Part 2) Form and Instruction	Modified

ICR Details

OMB Control No: 3150-0192	ICR Reference No: 201708-3150-006
Status: Active	Previous ICR Reference No: 201407-3150-002
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 64, Travel Voucher (Part 1); NRC Form 64A, Travel Voucher (Part 2), Schedule of Expenses and Amount Claimed; and NRC Form 64B, Optional Travel Voucher (Part 2)
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 without change	Conclusion Date: 10/17/2017
	Date Received in OIRA: 08/23/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	100	0	100
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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Abstract: Consultants, contractors, and those invited by the NRC to travel (e.g., prospective employees) must file travel vouchers and trip reports in order to be reimbursed for their travel expenses. The information collected includes the name, address, social security number, and the amount to be reimbursed. Travel expenses that are reimbursed are confined to those expenses essential to the transaction of official business for an approved trip.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16074	03/31/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 37902	08/14/2017
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 64, Travel Voucher (Part 1); NRC Form 64A, Travel Voucher (Part 2), Schedule of Expenses and Amount Claimed; and NRC Form 64B, Optional Travel Voucher (Part 2)	NRC Form 64, Form 64A, Form 64B	NRC Form 64, Travel Voucher

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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	100	100	0	0	0	0
Annual Time Burden (Hours)	100	100	0	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:

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Annual Cost to Federal Government: $26,500

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 08/23/2017

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