PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
NRC Form 396, Certification of Medical Examination by Facility Licensee
Modified
1862
2161
55
Form and Instruction
NRC Form 396
ONLINE FORM -CERTIFICATION OF MEDICAL EXAMINATION BY FACILITY LICENSEE
Form and Instruction
NRC Form 396
FORM 396 -CERTIFICATION OF MEDICAL EXAMINATION BY FACILITY LICENSEE
Total burden requested under this ICR:
1862
2161
55
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
