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) Modified 11500 1150 0 Form DOE F 470.4
Authorization and Consent to Release Human Reliability (HRP) Records in Connection with HRP Modified 11500 1150 0 Form DOE F 470.5
Human Reliability Program Modified 11500 1150 0 Form DOE F 470.3
Human Reliability Program (HRP) Alcohol Testing Form Modified 11500 1150 0 Form and Instruction DOE F 470.7
Refusal to Consent Modified 11500 1150 0 Form DOE F 470.6
Total burden requested under this ICR: 57500 5750 0  
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