Information Collection

NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card

IC 33486 under ICR 201405-3150-004 · OMB 3150-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0190 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 629 NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card Form
NUREG_BR-0254_Payment_methods[1].pdf Instruction
NUREG_BR-0238_handbook[1].pdf Instruction
NRC Form 629 Authorization for Payment by Credit Card NRC 629 (MM-DD-YYYY) (PS).pdf Form
NRC Form 628 Financial EDI Authorization NRC 628 (MM-DD-YYYY) (PS).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 629	Authorization for Payment by Credit Card	NRC 629 (MM-DD-YYYY) (PS).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 628	Financial EDI Authorization	NRC 628 (MM-DD-YYYY) (PS).pdf	Yes	Yes	Fillable Printable
Instruction			NUREG_BR-0254_Payment_methods[1].pdf	Yes	Yes	Fillable Printable
Instruction			NUREG_BR-0238_handbook[1].pdf	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 545	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	545	-38	583
Annual IC Time Burden (Hours)	45	-2	47
Annual IC Cost Burden (Dollars)	0	0	0

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.