Online Form PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR NON-POWER REACTORS/RTR

10 CFR 20, Standards for Protection Against Radiation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0014 can be found here:

Documents and Forms

Document Name Document Type
Form Online Online Form PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR NON-POWER REACTORS/RTR Form
Online PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR NON- Respirator protection exemption form nonpower reactors MMDDYYYY.pdf Form
Online PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR NON- Respirator protection exemption form nonpower reactors MMDDYYYY.pdf Form

Information Collection (IC) Details

IC Title:	Online Form PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR NON-POWER REACTORS/RTR	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 10 CFR 20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Online	PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR NON-POWER REACTORS/RTR	Respirator protection exemption form nonpower reactors MMDDYYYY.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 4

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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