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Dosimetry Application and Record of Previous Radiation Exposure
Radiation Exposure Data Collection
OMB: 0702-0150
IC ID: 247663
OMB.report
DOD/DOA
OMB 0702-0150
ICR 202405-0702-002
IC 247663
( )
Documents and Forms
Document Name
Document Type
Form DD 1952
Dosimetry Application and Record of Previous Radiation Exposure
Form
DD 1952 Dosimetry Application and Record of Previous Radiation E
DD1952 DRAFT 20210817.pdf
Form
DD 1952 Dosimetry Application and Record of Previous Radiation E
DD1952 DRAFT 20210817.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Dosimetry Application and Record of Previous Radiation Exposure
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DD 1952
Dosimetry Application and Record of Previous Radiation Exposure
DD1952 DRAFT 20210817.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
25
0
0
0
0
25
Annual IC Time Burden (Hours)
6
0
0
0
0
6
Annual IC Cost Burden (Dollars)
219
0
32
0
0
187
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.
