View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NRC Form 5, Occupational Dose Record for a Monitoring Period	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 5				Yes	Yes	Fillable Fileable
Form	Not applicable				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title: NRC 27, Radiation Exposure Information and Reporting System (REIRS) Records	FR Citation: 84 FR 71536

Number of Respondents: 4,404	Number of Respondents for Small Entity: 124

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 96 %

	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	4,656	0	0	328	0	4,328
Annual IC Time Burden (Hours)	109,060	0	0	2,154	0	106,906
Annual IC Cost Burden (Dollars)	12,651	0	0	1,364	0	11,287

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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