ML20134A496

Request for OMB Review & Supporting Statements Re NRC Form 314, Certificate of Disposition of Matls. Estimated Respondent Burden Is 100 H

ML20134A496
Person / Time
Issue date:	11/01/1985
From:	Norry P NRC OFFICE OF ADMINISTRATION (ADM)
To:
References
OMB-3150-0028, OMB-3150-28, NUDOCS 8511070145
Download: ML20134A496 (6)

Text

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ESIGNA?!D OUMEAL t

Re uest for OMB Review enemar% h M V 5'*""'" "" 8 3 (Rev SegLmber 1983)

Important Read instructions before completins

m. Do not use the same SF 83 Send three copies of this form, the material to be reviewed and for b request both an Executive Order 1.291 review and approval under paperwork-three copies of the supportirig statement, to the Paperwork Reduction Act Answer all questions in Part 1. If this tequest is for review under E.O Office of information and Regulatory Affairs 12291, complete Part 11 and sign the regulatory certification. If this Office of Management and Budget request b for approval under the Paperwork Reduction Act and 5 CFR Attention. Docket Library, Roo n 3201 1320, skip Part it, complete Part ill and sign the paperwork certification.

Washington. DC 20503 PART l.-Complete This Part for All Requests.

1. Departrnent/ agency and Bu e3a; o*t<e orpnating request TAgenty code r

U.S. Nuclear Regulatory Commission 3 1 5 0

3. Name of person who can best answer Guestes regard.cg this request Tewphone number Rob ~rt O'Connell (301 ) 427-9025

4. Titje of informate coo ection or ruiemaking NRC Form 314, Certificate of Disposition of Materials S. Legat t utrronty for m'ormate conecte or rute (c:te Unned States Code, Pabloc Law, or Esecutw Order) 42 usc 2201(o)

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6. Affected pubisc (chech a:I that apply)

$ 0 rederat agenem or eepsoyees 1 O indnnduais or nousenoids 3 0 rarms e 0 Non prof,t nst,tutions 2 O state or iocaige.ernments 4 @ susinesse orother so, prof i 7 0 sma'i bus.nesses or organ, tat.ons PART ll.-Complete This Part Only if the Request is for OMB Review Under Executive Order 12291

7. Regulation identif,er Number (RIN)

_. or, None assegned O S. TyDe of submssoon (cnece are on cac n categcry)

Type of revieev requested

' tagr o! development 10 Standard C:sssification S

1 C Ma;or 1 C Proposed or draft 2 C Pendmg 2 U Nonma ce 2 [ F r < v.% rm fir.e ut5 p.ce popo.al 3 0 cmergency 3 0 fire or e er m W

• cwt pior prova

9. CF R sxt.on affectec

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4 C 5tatutcry or rud c'a' deasane

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CFR

10. Does thes regulat.on conten reportrg or rect,rcheep.ng rewreme-ts that reore CMH at provai under the Paper *ork Reduction Act trd S CFR 1320' O Ye,

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11. If a trJJor ruie, es there a reguidtory :meact ana'tsis attact ed P 1 b Yes 2 b No if' No," d.d CM8 *arve tre anays<s' 3

Yes 4 Qrm Certification for Regulatory submissions in subm tting tnis reust for CMB rev en, tr e auther red ry Mor, wtact rd the pream e f caicert fr that the reaw emeris c' E O 12hl ar d any et a < ave r

r fO acy c rFctWes ha ve l#*G r Ypf d d n th c

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[ de 8511070145 051101 PDR ORO EUSOMD PDR 15 (0frtU ust Only) 4u, SiaMas d i turn d l

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$ ART lil.-Cemplata This Ptrt Only if the Rrqusst is fcr A;preval of a Collection cf Int:rmrtlin Under the Prperwork Reduction Act and 5 CFR 1320.

' z u >sract-o. sc,be neees. uses and attected pubac en so.ords or iess "Nu cl ea r faci l i ties, radi a tion s a fe ty e radioactive materials" NRC 314 infoms NRC whether a terminating licensee has properly transferred or disposed of materials procured under the license and constitutes pcrt of the basis for NRC's detemination that the facility has been cleared of radioactive material before the facility is released for unrestricted use.

Im at Mor~ar.cn codMtion (cfW 04 one)

Information collections not contained in rules 13 Regular submiss on 2 O Erregency submission (cert >hcare artxhed)

Information collections contamed in rules 3 O E>istma resutation tac char'se proposed) s rinaior mtenm emai without enor NrRM

7. Enter este of e,pected o, actuai rede,ai 4 O Notice of proposed ru:emakmg(NPRM)

A O Regutar submission Register putgication at this stage of rulematung 5 0 rinai. NeRu.as prewousiv pubashed a O Emergenct submission (certihcare affxhed)

(month, day, year)-

15. Type of reven requested (checA only one) 1 O New conection 4 0 Remstatement of a prewously approved cosiecte for wnich approvai 2 O Rewson of a currentty approved collection 3 @ Extens.on of the experation date of a currently approved collecten s O Erstmg cu!!ection m use without an oMB controi number

- without any change m tne substance or m the method of collection S S. Agency report form our*berts>(mclude standard /optenal form nurrber(s))

22. Purpose of mtormation confect.on (ct:ech as many as apply) 1 O Appucaten 'or benefits j

2 O Programevaluation I

17. K.nnual reportmg or disclosure burden 3 O Generalpurposestatistics 1 Number of respondents..

200 4 g R,gutato,yo,compiiance 2 Number of responses per respondent I

s O Program pianning or management 3 Total annual responses (rine 1 Dmes hoe 2) 200 s O Research 4 Hours per response

.5 7 O Audit s Totas hours eme 3 trmes line 4) 100

18. Annual recordmeepmg burden

23. Frequency of recordheeping or reporting (check M that apply) i 1 Numwer of recorcheepers 1 O Recordkeepins 2 Annual hours per recordkeeper..

Reporthw 3 Total recorckeeperg hours (fine 1 tirnes 6ne 2) 2 O on occasion 4 Recc.rdbeepmg retente penod year $

3 0 weekiy

19. Total annual burden 4 O Monthey 1 Requested (Ane 17 5 ptus 6ne 18 3).

100 s O quarterty 2 in current oM8 mventory 100 s O s.m.-annuasir 3 Dette*ence(twe !less bne 2) 0 7 O Annuatty Esplanation of nMorence 8 O Buennxalfy 4 Program charge 9 @ other(desenceA One time. at temination of s Ad ustment.

1iCense t

20. Current (most recent) oM8 control number or comment number

24. Resperients'obhgetion to comply (Check the strorgest068gebert thatappdies) 3150-0028-t O voiuntary

21. e.equested espwation dote 2 O Requiredtoobtamorret. ben.fet

__3 years from approval date 3 T Mandatory as. Are the respondents primaniy educaonai agencies or institutens o, is the primary purpow of ttw. coatecten reisted to redersi education pragramst O vos K] no 1

26. Does the agenc use samphng to select resnondents or does the agency rscommend or prescnbe the use of samphng or statistical anatysis i

by respondents

. O yes O No

21. Regulatory autnorrty for the mformation co.fecte 30.36(d). 40.42(d).

10 CFR

o, FR

or,other (specify).

70.38(d) floperwerti Corteficat6en in tutm6ttmg this request for oM8 approval the agency head. the seniar off<ial or an authonted representative, certifies that the regurrements of s CFR 1320, the Prrracy Act, statistical standards or directnres. and any other appbcable information pohcy directnres have been comphed with.

5.gnature of program off>ctai Date i

i s(nature of agency head, the se othcial or an authonaed represeptative Date Patricia G. Nor y, reitN0ff iM'nistration

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SUPPORTING STATEMENT FOR NRC FORM 314

" Certificate of Disposition of Materials" 10 CFR Sections 30.36(d), 40.42(d), 70.38(d)

Justification Need for and Practical Utility of the Information Collection NRC licenses to possess and use specified radioactive materials are issued for a term of five years. A notice of expiration of license is mailed to such licensees 120 days prior to expiration of the license.

Included with the notice is a set of application forms for use if the licensee wishes to apply for renewal of his license, and a copy of NRC Form 314, " Certificate of Disposition of Materials," for use if renewal is not desired.

If the licensee does not submit an application for renewal of the license, NRC requires, as part of its process for terminating the license and closing out the file, that the licensee notify the Consission in writing of that termination decision (10 CFR 30.36(c), 40.42(c), 70.38(c)).

In connection with, but separate from, that notification, licensees submit an NRC Form 314, which indicates that no materials have been procured and/or furnishes information regarding transfer or other disposition of the materials.

The staff reviews NRC Form 314 to determine whether the licensee has materials on hand which must be transferred or otherwise disposed of prior to expiration of the license and, if materials have been transferred or disposed of, to determine whether transfer or disposition of the materials has been in accordance with NRC regulations. The information submitted on Form 314 constitutes part of the basis for the determination by NRC that the facility has been cleared of radioactive material before the facility is released for unrestricted use.

Cescription of Information Collection NRC Form 314 is sent to each NRC materials licensee 120 days before expiratton of the license. Approximately 1200 are sent out annually.

The licensee is requested to either file an application for renewal of the Itcense or, if renewal is not desired, complete Form 314 and return it to the NRC.

Approximately 200 licensees cach file one Form 314 annually.

The submitted forms are stored in a secure docket file room as part of the retired files. They are available for public inspection on request.

Reduction of Burden through Informatton Technology The burden associated with completion of this brief one-time form 15 not currently amenable to reduction through the use of inf ormation collection technology.

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Efforts to Avoid Duplication In a few instances, portions of the needed information might also be contained in other information submittals to NRC or other Federal agencies. However, duplication, if any, is slight, and the collection of this information by use of Form 314 is the most effective and least burdensome means of obtaining the information.

Efforts to Reduce Small Business Burden s

This form is required of small business as well as large ones. Since the need for NRC to determine whether radioactive materials have been safely transferred or disposed of and whether the facility has been cleared of radioactive material before release is the same for large and small entities, it is not possible to reduce the burden on small entities by less frequent or less complete reporting of this one-time requirement.

Consequences of Less Frequent Collection This report is only submitted once, upon tennination of the license.

If the report were not submitted at that time, the NRC would not be able to determine readily whether any radioactive materials remain on the site, whether dispo-sition of materials has been made in accordance with the regulations, and whether the site has been cleared of radioactive materials and may be released for unrestricted use.

Circumstances Which Justify Variation from OMB Guidelines There is no variance from OMB guidelines.

Consultations Outside NRC There have been no consultations outside the agency since the initial GA0 clearance of the form. NRC Form 314 or its equivalent has been in use for over 20 years without any adverse comments having been received concerning its use.

Confidentiality None.

Sensitive Questions None.

Estimate of Cost to the Federal Government The annual cost to the Federal Government is estimated to be $1,980 ($600 for 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> professional, and $1,300 for 90 hours0.00104 days <br />0.025 hours <br />1.488095e-4 weeks <br />3.4245e-5 months <br /> clerical).

. Estimate of Compliance Burden Respondents are fims, institutions, and individuals holding NRC licenses to possess and use radioactive materials, who do not wish to renew those licenses.

Approximately 200 respondents each file one Fom 314 annually.

Each fom requires approximately 0.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> to prepare.

i 200 X 0.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> = a total annual burden for all respondents of about 100 hours0.00116 days <br />0.0278 hours <br />1.653439e-4 weeks <br />3.805e-5 months <br />.

The annual cost to the public, calculated at a rate of $60 per hour, is estimated to be $6,000, i

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e Nec tone att U $ NUCLE AH REGULATORY COMMISSION APPHOWtO E OM to Os M 33 36taH1H.I 10 C7 H 40 47ktHIHev4 CERTIFICATE OF DISPOSITION OF MATERIALS (All items MUST be completed, pioner print)

LKt%sta Naut 440 ADDntss LKEN54 huwetn LKENst S EPtmattON DAf t l

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THE LICENSEE OR ANY IN0lVIDUAL EXECUTING THl3 CERTIFICATE ON BEHALF OF THE LICENSEE CERTIFIES THAT:IChere amter compArte the opreswere orem(s) betow I i

A. MATERIALS DAT A (Chere one amt compiere, as nasewyl

1. NO MATERIALS HAVE EVER SEEN POSSESSED OR PROCURED BY THE LICENSEE UNDER THl3 LICENSE.

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2. ALL MATERIALS PROCURED ANO/OR POSSESSED 8Y THE LICENSEE UNDER THE LICENSE NUW8ER CITED ABOVE HAVE BEEN TRANSFERRED ON Daft TO urnKM MAS teRC LK&454 NVwseR I

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] 3. ALL MATERl4LS PROCURED ANO/OR POSSESSEO BY THE LICENSEE UNDER THE LICENSE NUMBER CITED AB DATE 10 lIssuto er vnt stAtt op wnKn M As (Ka mst avwee n J

AN AGREEMENT STATE PURSUANT TO SECTION 274 OF THE ATOMIC ENERGY ACT OF 1954, AS AMENDED, AND THE ENtRGY REORGANIZATION og ACT OF 1974.

4. MATE RIALS HAVE SEEN OtSPOSED OF IN THE FOLLO*iNG MANNE R. (Omrnes oweds deposet penreinuse-da Amtmet osare a nesdod, erer the rowise of ins fien, or poede artarnments/

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OUR LICENSE MAS NOT VET ( APIRED. PLE ASE TE RMINATE IT.

2. WAS A R ADIATION SURVEY CONDUCTED TO CONFIRM THE A85f NCE OF LICE NSID RADIOACTIVE MATERIALS AND TO DETERMINE WHETHE R ANY i

_ CONTAMIN ATION REMAINS ON THE PREMisi$ COVE RE D 8Y THE L#CENSI f IO=* anet l

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YES. THE RtSULTS /Chere cres l

ARE ATTACHED, OR WE RE FORWARDED TO NRC ON (Oste /

i 3 THE Pt RSON TO St CONTACilD RtGARDING THE INf ORMAflON PROVIDED ON THIS f OHM 4

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