ML20039C984

Request for OMB Review & Supporting Statement Re 10CFR30.32, Application for Byproduct Matl License - Industrial, NRC Form 313I.Estimated Respondent Burden Is 28,800-h

ML20039C984
Person / Time
Issue date:	12/11/1981
From:	Donoghue D, Scott R NRC OFFICE OF ADMINISTRATION (ADM)
To:
Shared Package
ML20039C980	List: ML20039C979 ML20039C982 ML20039C984
References
NUDOCS 8112310173
Download: ML20039C984 (7)

Text

-

RE2UEST FCR OM3 REVIEW (Und:t ths Pap:rwork R: duction Act and Ex:cutivs Ord:t 12291)

Imp rt:nt - Read instructions (SF-83A) before completing this Office of information and Regulatory Affairs form. Submit the required number of copies of SF-83, together office of Management and Budget with the materiM for which review is requested to:

Washington, D.C. 20503

1. Dspartment/ Agency and Bureau / Office originating request

3. Name(s) and telephone number (s) of person (s) who can best answer questions regarding request U.S. Nuclear Regulatory Commission B. O'Connell (301) 427-4211 2.6-digit Agency / Bureau number (firstpart of 11-digit Treasury 4.3-dsgit functional code (lastpart of 11-digit Treasury Accoun?

Account No.)

No.)

3 1

0 2

_0_ _0_

2 7

6

5. TstIn of Informatron Collectron or Rulemaksng C. Is this a tutemaking submission under Section 3504th) of P.L 96 5117 (Check one)

Application for Byproduct Material License -

sp No <section 3so7 submission) 0 2 0 Yes. NPRM. Expected date of publication:

6. A Is snyinformation collection (reporting or recordkeeping) 3 0 Yes. fnnal rule. Expected date of pub 6 cation.

envolved? ICheck one)

Etfective date:

1D Yes and proposal is attached for review D. At what phase of rulemaking is this submission made?

2 O Yes but prCoosalis not attacheo - skip to Quest on D.

3 O No - skip to Question D.

1 $ Not applicable B. Ar2 the respondents primarsly educationalagencies or 2 O Major rule,at NPRM stage institutions oris the purpose related to Federaleducation 3 O Major Final rufe for which no NPRM was published programs ?

4 O Major Finalrule,after pubhcation of NPRM O yes E No 5 O Nonmajor rule, at NPRM stage 6 O Nonmajor rule, at Final staDe COMPLETE SHADED PORTION IFINFORM ATION COLLECTION PftOPOS ALIS ATTACHED

7. Currant (or former) OMB Number

8. Requested

12. Agency re_ port f,orm nu.mber(s),_ _,,

n, 3150-0042

' Expiration Date~~

NRC 313I

~ ' Expirttioc Date

13. Are respondents only Federal agencies?.

1/31/82 1/31/85 O Yes M No:

9. ls proposed information collection listed in

14. Type of request (Check one) tha information collection budget?

~ O No 1 O prehminary plan g Yes

10. Will this proposed information collection ~

2 0,new (notpreviously approved or espiredmore than 6 monthsL c:Use the agency to exceed its information -

ago) coll;ction budget allowance? (llyes, attach O Yes ' D No 3.0 revision Emsndment request from agency head) e X extension (adjustment to burden only)

11. Number of report forms submitted for approval f axtension (no change),

' D in''nt l'"pi'*d "d"'n e monihs>.

0ne (1) 15.

16. Classification of Change i.? Burden (explain in supporting statement) e Apprisimete site of N/A No.of Responses - No of Reporting Hdurs Cost to the Pubhc p s.n oe unce N/A a;in inventory ~

2,800

.13,500 s

c. Estun;ted number of

b. As proposed 4,300 28>800 s

responoentsor y*'"**'""' _ 4,300

c. Difference (b-a) -

1,500 15,300 s

'd Reports ennuany by each Explanation of difference (indicate as many as apply)

[. rispondent brem 25) 1 Adjustments

-. #. n s i ^

~

1

,$',"s"c r*'r's'a'[ *"

.d. Correction-error ' '

+

+

+s j

t$m:ted..e,.2e iConection4eestimate @

1.500 15.300 is I'y,*,*i',,'",,"

. L. Change in use

. -I is gi f

b varies l

1.

[ Estimitedlotsihours Program changes

,o j g';ug,b"'a""a

g. increase

.+

+

+s 28,800

'h. Decrease

-s 8112310173 811514 Standard Form 83 (Rev. 3-81)

PDR ORG EUSOMB For Use Beginning 4/1/81

___-_ _lk

i

17. Absnact-NMds and Usss (50 worq(s o*pss)

Provides basic data for agency revicw'and licensing of appl'icants for a byproducti material license for industrial purposes.

l l

i

18. RIliti,d report torm(s) (give OMB number (s), IRCN(s),

20. Catalog of Federal Domestic Assistance Program Number Intsinsiagency report form number (s) or symbol (s)) ' " '*~

N/A

21. Small business or organization p Yes O No 3150-0041 3150-0023 19.Typa of affected public (Check as manyas apply)

22. Type of activity of affected public-indic' ate 3-digit Standard

{

s al ss a on code (s) (up to W - U om 1 O individuals orhouseholds 10, check O Multiple or O A!!

2 O state orlocalgovernments 3 0 ferms 4 3 businesses or otherinstitutions (except farms)

_2___8_

i

23. Brist description of affected public (e gw."retailgrocery stores."" State education agencies." households in 50 largest SMSAs")

. Users of byoroduct materials for industrial. ourooses.

24. Pur06se (Check as many as apply. If more than one indicate

26. Collection method (Check as_many as apply) pr3 dominant by an asterisk) 1p' mall self-administered ~

~

1 O application for benefits 2 O other self-administered

_2 O program evaluation 3O telephoneinterview 3 0 gsneral purpose statistics 4 0,personalinterview 4 IX regulatory or compliance S D,recordkeeping requirement:

5 O program planning or management

. Required retention period

years _ ___....

~ 6 O rssearch 6 0 other-describet

. 25. Frequsney of Use

- 27. Collection agent (Check one) 1 O Nonrecurring 1 D requesting Department / Agency R: curring (check as many as apply) 2 O other Federal Department / Agency 2 D on occasion 6O semiannually 3 0 private contractor 3 O weekly 70 annually 4 O recordkeeping requirement,

4 O monthly 80 biennially 5 0 other-describe:

5 O quarterly 90 other-describe;

28. Authority for agency for information cctiection or

30. Do you promise confidentiality?

rulama king-indicate statute, regulation, judicial decree, (If yes, explain basis forpledge stc.

in supporting statement.)

O Yes y No.

Atomic Energy Act of 1954 31.wiii the proposed information collection create a new or become part of an existing Privacy Act system of records?

29. Rsspondent's obhgation to reply (Check as many as apply)

(If yes, attach Federal Register notice or proposed draft of 1 T, voluntary notice.)

O Yes M No 2 O recuired to obtain or retain benefit

32. Cost to Federal Government of 3 O martdatory-cite statute.not CFR (attach copy of information collection or rulemaking S R75 On0 statutory authority)

COMPLETE ITEMS 33 THRU 35 ONLY IF RULEM AKING SUBMISSloN

33. Compliance costs to the public j 34. is there a' regulatory impact

35. ls there a statutory or judicial analysis attached?

deadline affecting issuance?

O Ye5 O No O Yes. Enter date:

S O No l CERTIFICATION BY AUTHORIZED OFFICIALS SUBMITTING REQUE'ST-We certify that the information collection or rulemaking submitted for

, r:vi",w is nicessary for the proper performance of the agency's functions,that the proposalrepresents the minimum public burden and Federalcost consistInt with need. and is consistent with applicable OMB and agency pokcy directives. Signature and title of; APPRovlNG Policy OrFICiaL FoA AGENCY DATE SueulTTING OFFIClaL DATE k)0 N %<F lL~ fog

/

// h

,DanielJ.DAoghue R. S n

I

1 SUPPORTING STATEMENT FOR NRC FORM 313I 10 CFR Part 30.32 Justification Section 30.32 of 10 CFR Part 30 contains the requirements for filing an application for a specific license for possession and use of byproduct material.

In order for a person to be licensed to possess and use byproduct material for industrial purposes, he/she must complete NRC Form 3131, "Applic'ation for Byproduct Material License - Industrial."

If the information in the application satisfactorily fulfills the requirements of Section 30.33 of 10 CFR Part 30, NRC Form 374, " Materials License," is issued.

The NRC staff will review the information submitted on NRC Form 313I to determine whether an applicant for a license has training, experience, equip-ment, facilities, and procedures for the use of byproduct material that are adequate to protect the public health and safety.

There is no source for the required information other than applicants.

NRC is the only Federal agency that requires the submission of information on radiation safety programs for the industrial use of reactor-produced isotopes (byproduct material).

T'his application is submitted for the initial license, for amendments, and for renewals every five years. The application process requires that appli-cants and licensees perform a comprehensive review of their entire radiation safety program to assure that all activities will be or are being conducted safely and in accordance with NRC regulations. The review and submission of the information required on the application form is essential to NRC's 8 determination of whether the applicant has training, experience, equipment, facilities and procedures for the use of byproduct material that are adequate i

to protect the public health and safety.

Description of Information Collection It is estimated that approximrtely 600 applications for new licenses, 3,C00 l

applications for license ament

' ' +. and 700 applications for license renewal, will be submitted to NRC annually on Form NRC 313I.

l Applicants will fill in the information requested on Form 313I and submit the original and one copy to NRC.

The submitted applications are maintained in a secure docket file room. They are released to the public on request after screening out personal and proprietary information, if any.

Files are maintained by name of licensee, not name of individual.

+

. Time Schedule for Information Collection and Publication Applicants for new licenses or for amendments to or renewal of existing licenses will submit NRC Form 313I with.the requested information. New applications or amendment applications may be submitted at any time. Renewal applications are required to be submitted every five years.

Requests for additional information to complete or clarify the information submitted in the application or to rectify deficiencies in proposed programs would be l

issued as necessary. The NRC expects that an average of one additional information request per submittal will be needed, and that this request would normally be issued within three months of the initial submittal.

Responses to requests for additional information would normally occur within two months, and the NRC would normally take appropriate licensing action within about one month of the availability of all required information.

~

Consultations Outside the Agency There have been no consultations outside the agency since the initial GAO clearance of the form.

Estimate of Compliance Burden Estimated Number Applicant Burden Total Annual Submitted Annually Per Submittal (Hrs)

Burden (Hrs)

New 600 24 14,400 Amendment 3,000 2

6,000 Renewal 700 12 8,400 Total 4,300 28,800 Estimate of Cost to Federal Government The cost to the Federal Government is estimated to be approximately $875,000 annually which includes 21,800 staff hours of effort.

(The annual number of applications submitted for review has increased as reflected above.)

Enclosure:

NRC Form 313I

(

C s

Y OMB

-FormLNRC4313 (1)

Form Approvea tiy saw

1. yg(c U.S. NUCLEAR REGULATORY COMMISSION 3e W gA 3,

INSTRUCTIONS FOR PREPARATION OF i

APPLICATION FOR BYPRODUCT MATERIAL LICENSE - hc/

/

l v

FORM %313 (I)

GEN ER AL INFORMATION

.l An applicant for a " Byproduct Material (Radioisotopes) License,"

3. Broad License (research and development) " Licensing buide

~

should complete Form!ERC413 (D in detail and submit in duplicate for Type-A Licenses of Broad Scope for Research and Develop-to the U.S. Nuclear Regulatory Commission. The applicant should ment "

udeavor to cover Ofire radioistope program with one application, j

if possible. However, separate applications showad be submitted for

4. Licensing Guides for the performance of welllogging operations.

f gamma irradiatps. Applications for medical uses should be submitted

{

on ITriiQN,R,C,313 (M) and applications _for u f sealed sources in

5. Licensing guide for the use of sealed sources in portable and semi-radiography should be submitted on Form [NRC 13R. Supplemental portable gauging devices.

_ sheets may be appened when necessary to provide complete infor-l mation. Item 18 must be completed on all applications. Submission The Commission charges fees for filing of applications for licenses as of an incomplete application will often result in a delay in issuance of specified in Section 170.12, Title 10, Code of Federal Regulations, the license because of the correspondence necessary to obtain infor.

Part 170. The applicant should refer to Section 170.31,5chedule of mation requested on the application.

feer for materials licenses, to determine what fee should accompany the application. No action can be taken on applications until fees a2e NOTE. -When the application includes one of the special uses listed paid. Checks or money orders should be made payable to the U.S.

I below, the applicant should request the appropriate pamphlet which Nuclear Regulatory Commission.

I govides additionalinstructions:

v j

Two copies of the completed FormhCy313 (1) and two copies of 1 Industrial Radiography " Licensing Requirements for Industrial each attachment thereto, should be sent to the Division of Fuel Cycle Radiography" (use application Form lNRCv313R for Radi-and Material Safety, Office of Nuclear Material Safety and Safeguards, ography);

U.S. Nuclear Regulatory Commission, Washington, D.C. 20555. One copy should be retained for the applicant's file. Applications may 2 Laboratory and Industrial Uses of Small Quantities.' Guide for also be filed in person at the Commission's office at 1717 H Street, Preparation of Applications for Laboratory and Industrial N.W., Washington, D.C. or at 7915 Eastern Avenue, Silver Spring, Uses of Small Quantities of Byproduct Material."

Maryland.

1 i

T i

EXPLANATION OF FORM NRC-313 (1)

L---

V MNRChl3 (1) is designed for use in supplying information 5.

The actual sites of use should be listed as indicated. Per-en programs of varying complexity. The applicant should provide manent facilities such as field offices for portable gauges or complete information on his proposed program for the possession devices should be identified in item 5 by Street, Address, and use oflicensed material For those items that do not apply, indicate City and State. Temporary field locations of use should as N.A. (not applicable).

be specified as " temporary job sites of the applicant" and list the States throughout which the temporaryjob sites will item No.

be located. Attach additional properly keyed sheet if mort space is needed.

1.

Self-explanatory 2.

The " applicant" P the organization or persons legally res-ponsible for possession and use of the licensed materials specified in the application.

7.

The " Radiation Protection Officer"is the named individual who is expected to coordinate the safe use of the licensed ~ g 3.

Self-explanatory material specified in the application and who will ensure compliance with the applicable parts of Title 10, Code of 4

Self-explanatory Federal Regulations.

g

(-

J FORMMC.313 L U.S. NUCLEAR REGULATORY COMMISSION -

1. APPLICATION FOR:

(346) ja -11 (Check and/or complete as appropriatel 10 CF R 30 APPLICATION FOR BYPRODUCT MATERIAL LICENSE INDUSTRIAL

s. NEW LICENSE See attached instructions for details.

b. AMENDMENT TO:

LICEN5E NUMBER Completed applications are filed in duplicate with the Division of Fuel Cycle and Material Safety, Office of Nuclear Material Safety, and Safeguards, U.S. Nuclear Regulatgry Commission' Washington, DC 20555 or applications may be filed in person at the Commission's office at

c. RENEWAL 0F)-

g,egugg hu, ggg 1717 H Street, NW, Washington, D. C. or 7915 Eastern Avenue, Silver Spring, Maryland.

N

.. APPLICANT'S NAME (Institution, firm, person, etc.)

3. NAME AND TITLE OF PERSON TO BE CONTACTED REG ARDING THIS APPLICATION TELEPHONE NUMBER: AREA CODE - NUMBER EXTENSION TELEPHONE NUMBER: ARE A CODE - NUMBER EXTENSION

4. APPLICANT'S MAILING ADDRESS (Inc' 1e Zip Codel

5. STREET ADDRESS WHERE LICENSED MATERIAL WILL BE USED (Address to which NRC correspondence, notices, bulletins, etc.,

(include Zip Codel should be sent.)

(IF MORE SPACE IS NEEDED FOR ANY ITEM. USE ADDITIONAL PROPERLY KEYED PAGES.)

6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERIAL (See items 18 and 17 for required training and experience of each individualnamed bekw)

FULL NAME TITLE a.

b.

c.

7, RAD lATION PROTECTION OFFICER I A ttach a resume oiperson's traoning and experience as outlined in Irems I16 and 17 and describe his responsibilities under item 15.

I I

8. LICENSED MATERIAL L

ELEMENT CHEMICAL NAME OF MANUFACTURER MAXIMUM NUMBER OF 1

AND ANDIOR AND MILLICURIES AND/OR SEALED N

MASS NUMBER PHYSICAL FORM MODEL NUMBER SOURCES AND MAXIMUM ACTI-E (If Sealed Source)

VITY PER SOURCE WHICH WILL BE POSSESSED AT ANYONE TIME NO.

A B

C D

(1)

(2)

(3)

(4)

DESCRIBE USE OF LICENSED MATERIAL E

(1)

(2)

(3)

(4)

/.#-S/

F'6 R M[J R Cr3131(34!O)

C C

I INFORMATION REQUIRED FOR ITEMS 15,16 AND 17 i

Describe in detail tie information required for items 15,16 and 17. Begin each item on a separate page and key to the application as follows:

i 15.

RADIATION PROTECTION PROGRAM. Describe the radiation protection program as appropriate for the material to be used including the duties and responsibilities of the Radiation Protection Officer, control measures, bioassay procedures (if needed), day today general safety instruction to be followed, etc. If the application is for sealed source's also submit leak testing procedures, or if leak testing will be performed using a leak test kit, specify manufacturer and model number of the leak test kit.

i s,

16. FORMAL. TRAINING IN RADIATION SAFETY. Attach a resume for each individual named in Items 6 and 7.

Describe individual's formal training in the following areas where applicable, include the name of person or institution providing the training, duration of training, when training was received, etc.

a. Principles and practices of radiation protection.

l 1

b. Radioactivity measurement standardization and monitoring techniques and instruments.

l I

c. Mathematics and calculations basic to the use and measurement of radioactivity.

I

d. Biological effects of radiation.

l 17.

EXPERIENCE. Attach a resume for each individual named in items 6 and 7.

Describe individual's work experience with radiation, including where experience was obtained. Work experience or on-the-job training should be commensurate with the proposed use. Include list of radioisotopes and maximum activity of each used.

18. CERTIFICATE (This item must be completed by applicent)

The applicant and any official executing tisis certificate on behalf of the applicant named in item 2, certify that this application is prepared in conformity with Title 10, Code of Fede'ral Regulations, Part 30, and that all information contained herein, including any supplements attached hereto, is true and correct to the best of our knowhrdge and belief.

WARNING.-18 U.S.C., Section 1001: Act of June 25,1948: 62 Stat. 749; makes it a criminal offense to make a wittfuity false statement or l

representation to any department or agency of the United States as to any matter within its jurisdiction.

a. LICENSE FEE REQUIRED

b. CERTIFYING OFFICIAL (Signature)

(See Section 170.31,10 CFR 170) t

c. NAME (Type or print) l (1) LICENSE FEE CATEGORY:

e.DATE (2) LICENSE FEE ENCLOSED: $

./

,o St FORM 3t3f(

)