ML20013F978

Notice of Pending NRC Action to Submit Info Collection Request to OMB & Solicitation of Public Comment on NRC Forms 4, Cumulative Occupational Exposure History & 5, Occupational Exposure Record for Monitoring Period

ML20013F978
Person / Time
Issue date:	03/24/1998
From:	St Mary B NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
To:
References
OMB-3150-0005, OMB-3150-0006, OMB-3150-5, OMB-3150-6, NUDOCS 9803270089
Download: ML20013F978 (20)

Text

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[7590-01-P]

U. S. NUCLEAR REGULATORY COMMISSION Agency information Collection Activities: Proposed Collection; Comment request

' AGENCY:

U. S. Nuclear Regulatory Commission (NRC)

ACTION:

Notice of pending NRC action to submit an informatior, collection request to OMB and solicitation of public comment.

SUMMARY

The NRC is preparing a submittal to OMB for review of continued approval of 1

information collections under the provisions of the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35).

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Information pertaining to the requirement to be submitted:

1.

The title of the information collection:

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NRC Form 4, " Cumulative Occupational Exposure History" NRC For ~15, " Occupational Exposure Record for a Monitoring Period."

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2.

Current OMB approval numbers: 3150-0005 and 3150-0006 3.

How often the collection is required: NRC Form 4 is generated for each i

individual who is likely to receive, in one year, an occupational dose 9803270089 980324

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1 requiring monitoring as described Q 20.1502. It is maintained by the licensee until the Commission terminates the license. It is not submitted to the NRC. NRC Form 5 is prepared by all NRC licensees and is submitted only by those licensees listed in 10 CFR 20.2206(a) to the NRC annually.

4.

Who is required or asked to report: NRC licensees listed in 10 CFR 20.2206(a).

5.

The number of annual respondents:

NRC Form 4 - 300 (109 reactor..tes and 191 materials licensees)

NRC Form 5 - 5,986 licensees maintain records

- 300 (109 reactor sites and 191 materials licensees) are required to submit reports in accordance with 10 CFR 20.2206(a) 6.

The number of hours needed annually to complete the requirement or request:

NRC Form 4 - 4,469 hours0.00543 days <br />0.13 hours <br />7.75463e-4 weeks <br />1.784545e-4 months <br /> or an average of 0.2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> per response.

NRC Form 5 - 164,104 hours0.0012 days <br />0.0289 hours <br />1.719577e-4 weeks <br />3.9572e-5 months <br /> - 152,104 recordkeeping hours (an average of 0.33 hours3.819444e-4 days <br />0.00917 hours <br />5.456349e-5 weeks <br />1.25565e-5 months <br /> per record X 77 individuals X 5,986 licensees) and 12,000 reporting hours in accordance with 10 CFR 20.2206(a) (an average of 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> per licensee X 300 licensees).

7.

Abstract: NRC Form 4 is used to record the summary of an individual's cumulative occupational radiation dose for the current year to ensure that dose does not exceed regulatory limits. NRC Form 5 is used to record and report the results of individual monitoring for occupational dose from i

radiation during a one-year period to ensure regulatory complirnce with annual dose limits.

Submit, by (insert date 60 days after publication in the Federal Reoister), comments that address the following questions:

1.

Is the proposed collection of information necessary for the NRC to properly perform its functions? Does the information have practical utility?

2.

Is the burden estimate accurate?

3.

Is there a way to enhance the quality, utility, and clarity of the information to be collected?

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4.

How can the burden of the information co!!ection be minimized, including the use of automated collection techniques or other forms of information

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technology?

A copy of the draft supporting statement may be viewed free of charge at the NRC Public Document Room,2120 L Street, NW (lower level), Washington, DC. OMB clearance requests

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.e are available at the NRC worldwide web site (http://www.nrc. gov) under the FedWorld collection link on the home page tool bar. The document will be available on the NRC home page site for 60 days after the signature date of this notice.

Comments and questions about the information collection requirements may be directed to the NRC Clearance Officer, Brenda Jo. Shelton, U.S. Nuclear Regulatory Commission, T-6 F33, Washington, DC,20555-0001, or by telephone at 301-415-7233, or by Intemet electronic mail l

at BJS1@NRC. GOV.

Dated at Rockville, Maryland, this M~

day of M 1998.

i For the Nuclear Regulatory Commission.

/&x CW

' eth C. St. Mary, Acting B

NRC Clearance Officer Office of the Chief Information Officer i

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OMB SUPPORTING STATEMENT FOR NRC FORM 4 (CLEARANDE REVISION)

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(3150-0005)

CUMULATIVE OCCUPATIONAL EXPOSURE HISTORY Descriotion of the Information Collection Part 20, Title 10 of the Code of Federal Regulations (10 CFR Part 20), provides requirements to licensees who receive, possess, use, transfer, or dispose of byproduct, source, or special nuclear material or who operate a production or utilization facility under parts 30-36, 39,40, 50, 60,61,70,72 or 76 for compliance with " Standards for Protection Against Radiation." Section 20.2104, " Determination of Prior Occupational Dose," requires that for each individual who is likely to receive, in one year, an occupational dose requiring monitoring as described in S 20.1502, licensees must determine the occupational radiation dose received during the current year and must attempt to obtain the records of cumulative occupational radiation dose.

In addition, licensees must obtain records of cumulative occupational radiation dose for any individual who is needed to participate in a planned special exposure. This is a third party collection.

NRC Form 4 is the recommended format for recording prior years' doses and prior doses by multiple licensees within the same calendar year. This information is necessary to ensure compliance with the annual occupational dose limits of 10 CFR Part 20. This information is also required by 10 CFR 20.2104 prior to allowing an individual to participate in a planned special exposure.

The information to complete NRC Form 4 comes from NRC Form 5. The NRC Form 5 is provided to the monitored individual by previous employers. The licensee need only account for periods that the individual was monitored in the current year. Prior years' doses can be provided by a cumulative estimate supplied by the empicyee.

A.

JUSTIFICATION 1.

Need for and Practical Utility of the Information Collection 8/

In order to protect the health and safety of workers,10 CFR Part 20 requires licensees to

.[R control, within specified limits, the occupational radiation dose of their workers. The information collection was based, in part, on Presidential Guidance to Federal Agencies for Occupational Exposure published in the Federal Reaister on January 27,1987. NRC Form 4 is to be completed and maintained by NRC licensees until the license is terminated by the Commission

- so that the data contained on the form can be reviewed by NRC inspectors to determine compliance with the dose-limit sections of the regulations and to ensure the health and safety of the workers.

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O The NRC Form 4 is a condensed summary of the information found on NRC Form 5 submitted by all the licensees for an individual for whom monitonng was provided. The NRC Form 4 may be prepared by the monitored individual or by the licensee once the licensee has determined that monitoring for occupational dose is required.

2.

Ageflev Use of Information The NRC uses the information to ensure that licensees are complying with the appropriate regulations in a manner edequate to protect worker and public safety. The inforniation is also used by the NRC to evaluate licensees' operations to ensure that they are meeting the requirements of their licenses.

3.

Reduction of Burden Throuah information Technoloov As of June 1997,95 of the 300 licensees who reponed electronically for 1996 used either the 4

NRC supplieo software, Radiation Exposure Monitoring and information Transmittal (RtEMIT),

or their own method to record and prepare this information. These same 95 licensees may use REMIT or their own method to prepare NRC Form 4s for transient workers. NRC encourages

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the use of any applicable information technology to produce and store information.

4.

Effort to identify Duolication and Use Similar information l

The Information Requirements Control Automated System (IRCAS) was searched and no j

duplication was found. There is no similar information available to the NRC.

5.

Effort to Reduce Small Business Burden The information required by NRC Form 4 is needed for the employces of small businesses as well as for employees of larger business firms to ensure that occupational doses are within the limits of 10 CFR Part 20. It is not possible to reduce the burden on small businesses and still meet the objectives stated in A.1.

6.

Consecuences to Federn Prooram Activities if the Collection is not Conducted or is Conducted Less Frgquently The NRC Form 4 is filled out by an individual at the stad of each new employment period. Less frequent collection would mean not checking doses received from previous employment. A worker could receive an occupational dose in excess of the limits of 10 CFR Part 20 if the dose from prior employment during the current year is not considered in assessing the dose a worker could receive during current employment.

P 2

t 7.

Circumstances Which Jujitifv Variation from OMB Guidelines i

Records associated with the NRC Form 4 must be retained for the life of the NRC license in order to determine a worker's prior occupational radiation dose, as required by 9 20.2104 of 10 CFR Part 20.

8.

Consultations Outside the NRC I

The NRC Form 4 is discussed each year at the Dosimetry Users Conference, with the most recent being held in Phoenix, Arizona, November 5-7,1997. The discussion focused on i

questions concerning electronic submittals, data entry and recordkeeping and reporting requirements. An opportunity to comment on the information collection requirements for this clearance revision has been published in the Federal Reaister.

i 3.

Eayment or Gifts to Resoondents.

Not applicable.

i 10.'

Confidentiality of informabon This information is subject to the Privacy Act of 1974 and is only ava!!able through the NRC's Privacy Act System of Records, NRC-27, REIRS.

11.

Justification for Sensitive Questions l

NRC Form 4 specifies the use of the individual's name, social security number or other ID, date of birth, and sex. This information is necessary to ensure the proper identification of the i

individual.

12.

Estimate of Annual Burden The requirement to obtain and maintain the information specified on NRC Form 4 for each individual for whom monitoring is required extends to all of the 109 reactor sites and all 5,877 materials licensees. Since this form is filled out each time a worker changes employment during the year, the greatest burden is on licensees who utilize transient werkers. In 1996. of the licensees who are required to submit annual occupational radiation exposure reports in accordance with 10 CFR 20.2206(a),22,348 transient workers were utilized, 22,016 of these worked at reactor sites, the remaining 332 worked at materials licensees. Approximately 0.20 hours2.314815e-4 days <br />0.00556 hours <br />3.306878e-5 weeks <br />7.61e-6 months <br /> is required to complete, review, and authorize each NRC Form 4 for an annual burden of 4,403 hours0.00466 days <br />0.112 hours <br />6.66336e-4 weeks <br />1.533415e-4 months <br /> for reactor sites, (0.20 hours2.314815e-4 days <br />0.00556 hours <br />3.306878e-5 weeks <br />7.61e-6 months <br /> X 22,016 transient workers), and 66 hours7.638889e-4 days <br />0.0183 hours <br />1.09127e-4 weeks <br />2.5113e-5 months <br /> for materials licensees, (0.20 hours2.314815e-4 days <br />0.00556 hours <br />3.306878e-5 weeks <br />7.61e-6 months <br /> X 332 transient workers) for a total annual burden of 4,4ti9 j

hours. The annual cost to reactor sites for this requirement is $576,793 = (4,403 hours0.00466 days <br />0.112 hours <br />6.66336e-4 weeks <br />1.533415e-4 months <br /> X

$131/ hour), and $8,250 = (66 hours7.638889e-4 days <br />0.0183 hours <br />1.09127e-4 weeks <br />2.5113e-5 months <br /> X $125/ hour) for materials licensees. The total annual cost to licensees is $585,043 (See Table 1).

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13.

Estimate of Other Additional Cgs 1 Not applicable.

14.

Estimated Annualized Cost to thgyRG NRC cost is incurred by inspectors reviewing the information on NRC Form 4, or its equivalent, and supporting records maintained by licensees. Annually,109 hours0.00126 days <br />0.0303 hours <br />1.802249e-4 weeks <br />4.14745e-5 months <br /> of inspection time is spent reviewing such records, at an average of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> for each of 109 reactor sites. In addition, 470 hours0.00544 days <br />0.131 hours <br />7.771164e-4 weeks <br />1.78835e-4 months <br /> of inspection time is spent reviewing such records an average of 0.08 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> for each of 5,877 materials licensees. Annually, the total time spent reviewing these records is approximately 579 hours0.0067 days <br />0.161 hours <br />9.573413e-4 weeks <br />2.203095e-4 months <br /> The annual cost for reactor inspections to review these forms is

$14,279 (109 hours0.00126 days <br />0.0303 hours <br />1.802249e-4 weeks <br />4.14745e-5 months <br /> X $131/ hour) and the annual cost for rnaterials inspections to review these forms is $5C,750 (470 hours0.00544 days <br />0.131 hours <br />7.771164e-4 weeks <br />1.78835e-4 months <br /> X $125/ hour). Annually, the totalinspection cost is approximately

$73,029. The annual NRC in-hsuse printing costs for the forms is appmximately $7.

Therefore, the total cost to the NRC is approximately 073,036 annually (See Table 2). These costs arts fully recovered through fee assessments to NRC licensees pursuant to 10 CFR Parts 170 and 171.

15.

Reasons for Chance in Burden i

The previous clearance estimated a total of 40.260 responses and a burden of 8,052 hot" The proposed clearance estimates a total of 22,348 responses with a corresponding t-reduction to 4,469 hours0.00543 days <br />0.13 hours <br />7.75463e-4 weeks <br />1.784545e-4 months <br />. This decrease is a result of experience obtained from collew

.2 analyzing the date used to prepare th- ' 7nual occupational exposure report, NUREG-0< 13 16.

Publication for Statistical Use None.

17.

Reason for Not Disclavino the Exniration Date.

Not applicable.

18.

Exceotions to the Certification Statement.

Not applicable.

B.

COLLECTIONS OF INFORMATION EMPLOYING STATISTICAL METHODS Statistical methods are not employed in the collection of information.

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i TABLEi INFORMATION COLLECTION BURDEN ASSOCIATED WITH NRC FORM 4 r

NUMBER OF BURDEN ANNUAL BURDEN ANNUAL RESPONSES HOURS /RESPCNSE HOURS

DST i

4 Reactors 22,016 0.20 4,403 576,793 l

Materials 332 0.20 66 5

8,250 l

Totals 22,348 4,469 585,043

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i TABLE 2 ESTIMATED ANNUALIZED COST TO THE NRC FOR REVIEW OF REPORTS AND CONDUCT OF INSPECTIONS l

ASSOCIATED WITH NRC FORM 4 l

l FORM 4 NUMBER OF STAFF STAFF NRC COST LICENSEES HOURS /LICENGEE HOURS RCactors 10s 1.00 109 14,279 i

Materials 5,877 0.08 470 58,7 'D NRC in-bl ':se Pririting Costs S

7 Total 5,986 579 73,M 6

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OMB SUPPORTING STATEMENT FOF; GC FORM 5 (CLEARANCE REVISION) i (3150-0006)

OCCUPATIONAL EXPOSURE RECORD FOR A MONITORING PERIOD Descriotion of the information Collection rart 20, Title 10 of the Code of Federal Regulations (10 CFR Part 20), provides requirements to licensees who receive, possess, use, transfer, or dispose of byproduct, source, or special nuclear material or who operate a production or utilization facility under parts 30-36,39,40,50, 60,61,70,72 or 76 for compliance with

• Standards for Protection Against Radiation." One of the requirements stipulates that the occupational radiation exposure must be recorded by all licensees. Certain of these licensees listed in 10 CFR 20.2206(a) must report this exposure to the NRC on an annua' basis.

l The NRC Fom15 is used to iecod and report the results of individual monitoring by a single licensee by year or employment penad if it is less than a year. This form is a complete and detailed record of doses and intakes of radioactive materials.

Section 20.2106(c) requires all sicensees to maintain records of the results of individual monitoring for occupational dose from radiation on NRC Form 5 or equivalent. In 10 CFR 20.2206(b) and (c) licensees are required to submit an annual report of the results of individual monitoring to the NRC on NRC Form 5 or on electronic media containing all the information required by NRC Form 5. In 10 CFR 19.13(b) individuals, for whom monitoring is required, must b^ Mformed of data contained in NRC Form 5. Section 20.2104(a)(1) requires licensees to deta 1,1e occupational radiation exposure received during the current year to ensure compliance with the annual dose limits. Licensees are required to retain the records of occupational radiation exposure on NRC Form 4 (OMB Clearance Approval 3150-0005) or equivalent. Consequently, each Jose period represented by an NRC Form 5 will be cross-referenced to the complete dose history on the NRC Form 4 for the individual.

The NRC uses the information submitted by licensees to monitor the effectiveness of radiation protection programs and procedures at licensees' facilities. This information is maintained in the NRC's Radiation Exposure information and Reporting System fREIRS). This database is the NRC component of a nationwide radiation worker registry which implements the Federal Radiation Protection Guidance for Occupational Exposure approved by the President on January 20,1987 (52 FR 2822-2834, January 27,1987). An analysis of this data is published annually in NUREG-0713,

• Occupational Radiation Exposure at Commercial Nuclear Power Reactors and Other Facilities," and is used by NRC, other government agencies, and licensees to follow dose-trends at licensed facilities.

1 I

NRC encourages licensees to reduce the paperwork burden on themselves and on the NRC by transmitting this information electronically. Complete information is provided to licensees in Regulatory Guide 8.7, Revision 1, " Instructions for Recording and Reporting Occupational Radiation Dose Data," (RG 8.7) regarding the recommended format for that submittal. In addition, software has been developed, and is available from the Energy N nee and Technology Software Center, P.O. Box 1020, Oak Ridge, TN 37831, phone 423-576-2606, for

$100. For those licensees with Internet access this software may be downloaded free of charge from the NRC's Web Page for Occupational Radiation Exposure at NRC Licensed Facilities at "http://www.saic.com/home/nrc_ rad". This software vastly reduces the burden of collecting and maintaining information; allows licensees to analyze compiled data to irnprove radiation protection, to produce the completed NRC Form 5, and download this information to a disk for submittal to the NRC.

A.

JUSTIFICATION 1.

Need for and Practical Utility of the information Collection in order to protect the health and safety ol workers,10 CFR Part 20 requires all licensees to control occupational radiation dose to their workers. The NRC regulations require those licensees listed in 10 CFR 20.2206(a) to send NRC Form 5, or its equivalent, to the NRC annually. The NRC compiles and analyzes these reports to assess the effectiveness of radiation protection programs among its licensees.

2.

Agency Use of information The NRC uses the information to ensure that licensees are complying with the appropriate regulations in a manner adequate to protect worker and public safety. The information is also used by the NRC to evaluate licensees' operations to ensure that they are meeting the requirements of their licenses.

3.

Reduction of Burden Through Information Technology As of June 1997 % ~ tr e 300 licensees who reported electronically for 1996 used either the Radiation Expovcv Monitoring and Inforrnation Transmittal (REMIT) software or their own method to record and prepare this information. The ninety-five licensees who submitted electronically submitted 188,679 reports versus the remaining 205 licensees who submitted 22,121 paper NRC Form 5s, for a total of 201,800 separate reports. This number accounts for duplicate reports for workers who may have worked at more than one licensee during 1996.

NRC encourages the use of any applicable infomiation technology to produce and store information. NRC has published detailed instructions on the electronic transmission of the data contained in the NRC Form 5 to reduce the burden of reporting on licensees.

4.

Effort to identify Duolication and Use Similar Information The information Requirements Control Automated System (IRCAS) was searched and no duplication was found. There is no similar information available to the NRC.

2

NRC Form 5 is the ooly source of complete monitoring information on the worker's current or most recent occupational dose.' There is no similar information which can be readily used to satisfy the needs stated in item A.1.

5.

Effort to Reduce Small Business Burden The information required by NRC Form 5 is needed for the employees of small businesses as well as for employees of larger business firms. It is not possible to reduce the burden on small businesses and still meet the objectives stated in A.1.

6.-

Consecuences to Feral Proaram Activities if the Collection is not Conducted or is Conducted Less Frequently

- Less frequent collection would mean that workers could receive occupational doses in excess of the limits in 10 CFR 20 if the doses were not reported annually.

7.

Circumstances Which Justifv Variation from OMB Guidelines Records associated with the NRC Form 5 must be retained for the life of the NRC license in order to permit an individual to receive a planned special exposure.

8.'

Consultations Outside the NRC The NRC Form 5 is discussed each year at the Dosimetry Users Conference, with the most recent being held in Phoenix, Arizona, November 5-7,1997. The discussion focused on

. questions conceming electronic submittals, data entry, and recordkeeping and reporting requirements. - An opportunity to comment on the information collection requirements for *his clearance revision has been published in the Federal Register g.

. Payment or Gifts to Resoondents.

Not applicable.

i 10.

Confidentiality of Information This information is subject to the Privacy Act of 1974 and is only available through the NRC's Privacy Act System of Records, NRC-27, REIRS.

11.

Justification for Sensitive Questions NRC Form 5 specifies the use of the individual's name, social security number or other ID, date of birth, and sex. This information is necessary to ensure the proper identification of the individual.

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' 12.-

Estimate of Annual Burden j

The' recordkeeping burden is shown for all licensees and the reporting burden is shown for only

_l those licensees who are required by 10 CFR 20.2206(a) to report the individual occupational l

K radiation exposures for each of their workers.-

]

4-j.

- Recordkeeping:-

The requirement to obtain and maintain the information specified on NRC

. Form 5 for each individual for whom monitoring is required extends to all,

of the 109 reactor sites and all 5,877 materiais licensees, for a total of 5,986 licensees Based on the 1996 data published in NUREG-0713, 1

i Volume 18, all 109 reactor sites and only 191 materials licensees who

[

are required to report in accordance with 10 CFR 20.2206 reported on a i

total of 138,310 individuals in 1996. Of this number 127,420 individuals were monitored at reactor sites and the remaining 10,890 individuals u

were monitored by materials licensees. The total number of individuals l

monitored by all NRC licensees is 462,501 annually (127,420 monitored j

ll at reactor sites + 335,081 monitored at materials facilities). - By dividing.

.j the total number of individuals who are monitored on an annual basis, l

4 l

462,501, by the total number of licensees, 5,986, there are approximately j

77 individuals per licensee. Assuming one recordkeeper per licensee

-l e

working at 0.33 hours3.819444e-4 days <br />0.00917 hours <br />5.456349e-5 weeks <br />1.25565e-5 months <br /> cf clerical time to complete each individual's NRC e

Form 5, the annual recordkeeping burden is. 152,104 hours0.0012 days <br />0.0289 hours <br />1.719577e-4 weeks <br />3.9572e-5 months <br /> (5,986 j

'p recordkeepers X 0.33 hours3.819444e-4 days <br />0.00917 hours <br />5.456349e-5 weeks <br />1.25565e-5 months <br /> / individual NRC Form 5 X 77 individuals).

1 The annual coct associated with this burden is $6,844,680= (152,h.

hours X $45/ hour), (See Table 1).

Reporting:

For those licensees required to report each individuals' occupational radiation exposure in accordance with 10 CFR 20.2206(a) approximately 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> is needed per licensee to review and authorize submittal of the NRC Form 5. This time includes preparing a cover letter and downloading the information to a disk, or preparing the paper Form 5s for shipment. In 1996,109 reactor sites and 191 materials licensees reported this information to the NRC. The annual burden to the reactor licenseas is 4,360 hours0.00417 days <br />0.1 hours <br />5.952381e-4 weeks <br />1.3698e-4 months <br /> (109 reactor sites X 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br />) and the annual burden to materials licensees is 7,640 hours0.00741 days <br />0.178 hours <br />0.00106 weeks <br />2.4352e-4 months <br /> (191 materials licensees X 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br />). The total burden for licensees required to report in accordance with 10 CFR 20.2206(a) is 12,000 hours0 days <br />0 hours <br />0 weeks <br />0 months <br />. The cost associated with each of these burdens is $571,160 (4,360 hours0.00417 days <br />0.1 hours <br />5.952381e-4 weeks <br />1.3698e-4 months <br /> X

$131/ hour) for reactor sites and $955,000 (7,640 hours0.00741 days <br />0.178 hours <br />0.00106 weeks <br />2.4352e-4 months <br /> X $125/ hour) for material licensees (See Table 2). The total cesst is 51,526,160 annually.

e Total:

- The total burden and costs for recordkeeping and reporting are 164,104

hours and $8,370,740 annuallyi S

13.

Estimate of Other Additional Cost Not applicable.'

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14.

Estimated Annualized Cost to the NRC NRC cost is incurred by inspectors reviewing the information on NRC Form 5, or its equivalent,

and supporting records maintained by licensees. Annually,273 hours0.00316 days <br />0.0758 hours <br />4.513889e-4 weeks <br />1.038765e-4 months <br /> of inspection time is ?

. spent reviewing such records, at an average of 2.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> for each of 109 reactor sites. In.'

- addition,2939 hours0.034 days <br />0.816 hours <br />0.00486 weeks <br />0.00112 months <br /> of inspection time is spent reviewing such records an average of 0.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br />;

-j i

for each of 5,877 materials licensees. Annually, the total time spent reviewing these records is approximately 3,212 hours0.00245 days <br />0.0589 hours <br />3.505291e-4 weeks <br />8.0666e-5 months <br />. The annual cost for reactor inspections to review these forms is

l

' $35,763 (273 hours0.00316 days <br />0.0758 hours <br />4.513889e-4 weeks <br />1.038765e-4 months <br /> X $131/ hour) and the annual cost for materials inspactions to review these ~

~,

forms is $367,375 (2,939 hours0.0109 days <br />0.261 hours <br />0.00155 weeks <br />3.572895e-4 months <br /> X $125/ hour). Annually, the total inspection cost is approximately $403,138. The annual NRC in-house printing costs for the forms is l

approximately $7. Therefore, the total cost to the NRC is approximately $403,145 annually

'j

- (See Table 3). These costs are fully recovered through fee assessments to NRC licensees 1

pursuant to 10 CFR Parts 170 and 171.

j

? 15.

Ra==ons for Chance in Burden

+

Recordkeeping:

The previous clearance estimated a total of 6,710 licensees monitored 60

'i individuals each for a total of 132,858 hours0.00993 days <br />0.238 hours <br />0.00142 weeks <br />3.26469e-4 months <br /> for recordkeeping. The i

proposed clearance estimates that a total of 5,986 licensees monitor 77 l

Sdividuals each for a total of 152,104 hours0.0012 days <br />0.0289 hours <br />1.719577e-4 weeks <br />3.9572e-5 months <br /> for recordkeeping for a j

burden increase of 19,246 hours0.00285 days <br />0.0683 hours <br />4.06746e-4 weeks <br />9.3603e-5 months <br />. The re-estimate is based on j

experience obtained from collecting and analyzing tt o data used to prepare the annual occupational exposure report, NUREG-0713.

Reporting:

The previous clearance erroneously indicated all 6,710 licensees, expending only one hour each, would report. The proposed clearance request estimates that 300 licensees, expending 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> each to submit data on approximately 77 individuals, will report. This burden recalculation is a result of experience obtained from collecting cnd analyzing the data submitted that is used to prepare the annual occupational exposure report, NUREG-0713.

16.'

Publit ation for Statietical Use None.

17,

- Re==on for Not Disolavina the Exoiration Date.

' Expiration date is displayed.

~

7

18.

Excephons to the Certification Statement Not applicable.

B.

COLLECTIONS OF INFORMATION EMPLOYING STATISTICAL METHODS Statistical methods are not employed in the collection of information.

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O TABLE 1 RECORDKEEPING INFORMATION COLLECTION BURDEN ASSOCIATED WITH NRC FORM 5 NUMBER OF

- NUMBER OF RECORDS BURDEN ANNUAL ANNUAL RECORDKEEPERS PER LICENSEE HOURS / RECORD BURDEN HOURS COST 5.986 77 0.33 152,104 5

6,844,680 6

TABLE 2 REPORTING INFORMATION COLLECTION BURDEN ASSOCIATED WITH NRC FORM 5 i

NUMBER OF BURDEN

. ANNUAL BURDEN ANNUAL COST LICENSEES HOURS / LICENSEE HOURS Reactors 109 40 4,360 571,160 Materials 191 40 7,640 955,000 Totals 300 12,000 5

1,526,160 7

i TABLE 3 ESTIMATED ANNUAllZED COST TO THE NRC FOR REVIEW OF REPORTS AND CONDUCT OF INSPECTIONS ASSOCIATED WITH NRC FORM S FORM 5 NUMBER OF STAFF STAFF HOURS NRC COST LICENSEES HOURS / LICENSEE R: actors 109 2.5 273 35,763 Materials 5,877 0.5 2,939 5

367,375 N C In-house Printing Costs S

7 Tots 5986 3.212 403,145 i

i l

8

PAGE OF ORM6 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO.31644006 EXPIRES: MM/DDIYYYY 10 CFR PART 20 Emmated burden per response h comply emh me mandasary w*wmanan em request 20 mnAss N

~ ' ' ' " " "

OCCUPATIONAL DOSE RECORD

"*""*""'"*'**"~**""'*"'"'"**""",ee".on"."*"*e.'"."*.e*-.--

= ~ r. pori - -~ - =.

seqpdunaryhmak Fmeent

._ regareng burden esamaan to the Records Management Bransh (T4 F33). U S

'5*

FOR A MONITORING PERIOD

~~ a a*'='v -~ w- = 2=$5am - '= = e ae

• a a==a e'=' 'e's(p' lay a (XDSL Olhce of " - _

^and Budget. Washington, DC 20503 N an udormat, h does not cunerey vahd OMB control numter, the NRC may not conduct or sponsor, and a person em,

• sequired h e6 e the L.. '-- - r-r -

1 NAME WT MST.hmODLE INM)

2. IDENTIFICATION NUMBER 3.10 TYPE

4. SEX

5. DATE OF BRTH MetXWYYY) l MALE l FEMALE

6. MONITORING PERIOO (Mwooryvyy uwDONYYY) 7.UCENSEE NAME

8. LICENSE NUhMIER(S)

GA 98 RECORD ROUTINE ES?tMATE PSE INTAKES 10A. RADIONUCLIDE 108. CLASS 10C. MODE 10D. INTAKE IN uCi DEEP DOSE EQUlVALENT (DDE)

LENS (EYE) DOSE EQUlVALENT (LDE)

SHALLOW DOSE EQUIVALENT,WHOLE BODY (SDE,WB)

SHALLOW DOSE EQUIVALENT, MAX EXTREMITY (SDE,ME)

COMMITTED EFFECTIVE DOSE EQUIVALENT (CEDE)

COMMITTED DOSE EQUIVALENT, 16.

MAXIMALLY EXPOSED OR,GAN (CDE)

TOTAL EFFECTNE DOSE EQUNALENT 17.

(ADO BLOCKS 11 AND 16) (TEDE)

TOTAL ORGAN DOSE EQUIVALENT, 18.

MAX ORGAN (ADD BLOCKS 11 AND ist (TODE)

19. COMMENTS 20, SIGNATURE - LICENSEE

21. DATE PREPARED I

. NRcau s m p

,