ML20137A452

Request for OMB Review Re Personnel Security Questionnaire. Estimated Respondent Burden Is 2,004 H

ML20137A452
Person / Time
Issue date:	08/13/1985
From:	Norry P NRC OFFICE OF ADMINISTRATION (ADM)
To:
References
OMB-3150-0048, OMB-3150-48, NUDOCS 8508210408
Download: ML20137A452 (2)

Text

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Request for 0MB Review Ge, Sevember 1981) l Important ,

. Send three copies of this form, the material to be reviewed. and fi Read mstructions before compfeting form. Do not use the same SF 83 t3 request both an Executae Order 12291 review and approval under

• paperwork-three copies of the supporting statement. to.

j r the Pape work Reduction Act. Offree of Information and Regulatory Affairs Answer all questions in Part 1. If this request is for review under E.O. Office of Management and Budget 12291. complete Part 11 and sign the regulatory certification. If this Attention: Docket Library, Room 3201 request is for approval under the Paperwork Reduction Act and 5 CrR Washington.DC 20503 1320, skip Part II. complete Part lit and sign the paperwork certification.

PART 1.-Complete This Part for All Requests. ~

2. Agency code

1. Department / agency and Bureau /of f ace originating request

- 3 1 5 0 U.S. Nuclear Regulatory Comission Telephone number

3. Name of person who can best answer questions regarding this request Russell R. Rentschler (301 3 427-4761 ~~

4. Title of enformation collection or rulemaking NRC Form 1 - Personnel Security Questionnaire S. Legal authonty for mtormatson conectson or ruse (ct:e Unuted States Code. Pubhc Law, or becutive Order) 42 USC 2201(o) or

• 5 0 rederaiagencies or empioy. s

6. Affected public(check allthatapply) s O Non-profitinstitutions 1 O individuaisorhousehoids 3 0 rarms 4 D ausinessesor other vor. profit 7 O smaiibusinessesororganizations 2 O stateoriocaigovernments 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 assigned O ~

- Type of renew requested

g. Type of submission (check one on each category) . , . .

Cisssificat.'en v w . Stage of development > --

1 O standard 1 O Propos.dordraft 2 O Pending 1 O unior 3 O Emergency 2 O Non aio,- , 2 O r.natorinterienrinsi.witner orproposai

< 3 0 rinaiorintenmainar.vnthoutpnarproposar 4 O statutoryorjudiciaidesdiine

9. CFR section attected CFR . . .

10. Does this regulation contain reporting or recordkeeping requirements that require OMB approval under the Paperwork Reduction . O Act ves D we and 5 CDt 1320? ,

1 O yes 2 O u-11.if a maior rule. is there a regulatory impact analysis attached? 3 0 ves ~4 0 n.,

If"No." did oMB waive the analysis?

Certification for Regulatory submissions in submitting this request for oMB review, the authorized regulatory contact and the program official certify that the requirements of E.O.12291

-~

pohcy directives have been complied with, Date signatureof programettcal signature of authorized regulatory contact 8508210408 PDR ORG 850813 EUSthB Dit' PDR

12. (oaf 8 use only) standare reem 8 3 gr. e :

Peevous editicas obso.ete 83 108 p.m ..u..i t.. co h5N 75aOo0 63a a034 S Cr A 13:o au r 0 . -

e o e PART lli.-Cornplete This Ptrt Only if ths Rsquast is far Approval of a Callactirn of Inforrnation Under the Paperwork Reduction Act and 5 CFR 1320.

13 Abstract-oescribe needs, uses and affected pubhc in 50 wards or less A proposed amendment to 10 CFR Part 11 will permit MRC to use information already collected by other Federal agencies for similar access authorization programs. This will result in a reduction in :;ubmissions of NRC Form 1.

14. Type of information collection (checA only one)

Information conections not contained in rules 2 O Emergencysubmission(certificationattached) 10 Reeviar submission --

Informstlen ceMeetions contained in rules 6 rinai or interim final without prior NPRM 7. Enter date of espected or actual Federal 3 O Ea. sting reguistion(no change proposed)

A U Regularsubmission Register publication at this stage of rutemak 4 O Notice of proposed rulemaking(NPRM)

B O Emergency submission (certs/scation attached) (month, day, year):

5 O rinal. NPRM was previously published l

15. Type of review requested (check only one) <

4 O Reinstatement of a previousir approved correction for which appr...

1 O New collection has expired 2b Revisionof acurrentlyapprovedcollection 3 O E= tension of the e piration date of a currentir approved coii ction 5 O Existing coIIection in use without an OMB control number l

I without any change in the substance or in the method of collection

22. Purpose of information coilection (check as many as apply)

16. Agency report form nutnber(s)(onclude standard /optionalform number (s)) -

HRC Form 1 1 O Application for benefits 2 O Programevaivation

17. Annualreporting or disclosure burden . 3 Genera' purpose statistics 1336- 4 Regulatory or compliance l 1 Number of respondents . . . . . .

2 Number of responses per respondent . . . . . f 5 O Program pia *g or management -

l I 3 Total annual responses (fine 2 times line 2) . . . 6 O Research

'b 7 O Audit 4 Hours per response . . . . . . . . . .

EUU4 5 Totaf hours (tine 3 times line di 18.~ Annualrecordkeeping burden 23. Frequency of recordkeeping or reporting (check att thatapply)

I 1 umber of recordkeepers . . . . .

1 O Recordkeeping 2 Annual hours per recordkeeper. . . . . . .

Reportins 3 Totai recordkeeping hours (line I times line 2) . . 2 $ Onoccasion l

4 Recordkeeping retention period . . . . . yea'$ 3 0 weekty l 19.Totalannual butden 4 O uonthiy

~

~

2004 5 Quartetty

'. 1 Requested (line J7 5plus Gne J83) . *.- . . . .

6 Semiennually 1 2in current OMe inventory . . . . . . . .

'. 7 0 Annualiy 3 Difference (fine Iless line 2) . . ' . . . .

Esplanatten efdifference 8 O Biennially l

4 Program change' . . _ , . . . . . : . . .

~

I 9 0 Other(desenbe):

5 Adiestment . .

+ 1081 l '

24. Respondents' obligation to comply (check the strorqgest obligation that appl

! 20. Current (most recent) OM B control number or comment number 3150-0048 1 O . voluntary

21. Requested espiration date

• 2 O Required to obtain or retain a benefit 3 years from approval date 3 [3 Mandatory

25. Are the respondents primarily educational agencies or institutions or is the primary purpose of the collection retated to Federa 26.byooes the agenef use tespondents sampling to select respondents or does the agency recommend or prescribe . . . . . . . . . . the Oves useOof i on collection

27. Regulatgauthority for *}f  : or. Other(specify):

CFR :or FR 1 Pc perwork Certification In submitting thes request for OMB approvat, the agency head, the senior official or an authorized representative. Cert 6fies that the requirements of l

Privacy Act, statistical standards or directives, and any other apphcable information poiscy directives have been comphed with.

Date S gnature of program official oafe S gnature of agency neao. the seniorr o f.cw or an awne:co representative Patricia G. Horry, Jirector 'g [ 1 -ry-i Office of Administration /( t<-~ ~ ' 7

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