Justification for Change

1910-5122 Non Sub Change Request.docx

Human Reliability Program

Justification for Change

OMB: 1910-5122

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Human Reliability Program

OMB Control Number 1910-5122


Justification for No Material/Nonsubstantive Change




Human Reliability Program Alcohol Testing Form - for Los Alamos National Laboratory (LANL) Use Only (DOE F 470.12) was created for use as the current HRP Alcohol Testing Form (DOE F 470.7) does not fit the pre-specified template used by LANL to administer and print the alcohol test and results. DOE F 470.12 collects the same data collected in DOE F 470.7, but the format has been altered to fit the needs of LANL.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMichael Johnson
File Modified0000-00-00
File Created2025-08-12

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