View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2021 006 Q_NRC_Mobile_20210319_DOT	Agency IC Tracking Number:	006

IC Status: New

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 and Instruction	006	2021 006 Q_NRC_Mobile_20210319_DOT	2021 006 Q_NRC_Mobile_20210319_DOT.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	1,000	0	1,000	0	0	0
Annual IC Time Burden (Hours)	42	0	42	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form 09132018_IA30723 USNRC_Mobile_2021-03-18 signed	1090-0008 Generic Clearance Request Form 09132018_IA30723 USNRC_Mobile_2021-03-18 signed.pdf	04/06/2021
1090-0008 Intercept Survey Mapping Doc IA30723 US NRC Mobile 2021-03-17	1090-0008 Intercept Survey Mapping Doc IA30723 US NRC Mobile 2021-03-17.docx	04/06/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.