Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Acknowledgement and Agreement to Participate in the Human Reliability Program (HRP) New 11500 1150 0 Form DOE F 470.4 Acknowledgment and Agreement to Participate in the Human Reliability Program (HRP)
Authorization and Consent to Release Human Reliability (HRP) Records in Connection with HRP New 11500 1150 0 Form DOE F 470.5 Authorization and Consent to Release Human Reliability Program (HRP) Records in Connection with HRP
Human Reliability Program Modified 11500 1150 0 Form DOE F 470.3 Human Reliability Program (HRP) Certification
Human Reliability Program (HRP) Alcohol Testing Form New 11500 1150 0 Form and Instruction DOE F 470.7 Human Reliability Program (HRP) Alcohol Testing Form
Refusal to Consent New 11500 1150 0 Form DOE F 470.6 Refusal of Consent
Total burden requested under this ICR: 57500 5750 0  
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