ML20132B351

Notice of Pending NRC Action to Submit Info Collection Request to OMB & Solicitation of Public Comment

ML20132B351
Person / Time
Issue date:	12/16/1996
From:	Cranford G NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
To:
References
NUDOCS 9612170155
Download: ML20132B351 (8)

Text

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[7590-01-P]

U. S. NUCLEAR REGULATORY COMMISSION Documents Containing Reporting or Recordkeeping Requirements: Notice of Pending Submittal to the Office of Management and Budget (OMB) for Review AGENCY:

U. S. Nuclear Regulatory Commission (NRC)

ACTION:

Notice of pending NRC action to submit an information collection request to > fB and solicitation of public comment.

SUMMARY

The NRC is preparing a submittal to OMB for review of continued approval of information collections under the provisions of the Paperwork Reduction Action of 1995 (44 U.S.C. Chapter 35).

Information pertaining to the requirement to be submitted:

1 The title of the information collection:

Application / Permit for Use of the Two White Flint (TWFN) Auditorium 2.

Current OMB approval number: No. 3150-0181 3.

How often the collection is required: Each time public use of the auditorium is requested.

4.

Who is required or asked to report: Member of the public requesting use of the NRC Auditorium 5.

The number of annual respondents:

48 170035 C&/4 v AAr Qk Ahe 9612170155 961216

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The number of hours needed annually to complete the requirement or request: 12 7.

.Abst :ct:

In accordance with the Public Buildings Act of 1959, an agreement was reached between the Maryland-National Capital Park and Planning Commission (MPPC), the General Services Administration (GSA) and the Nuclear Regulatory Commission the auditorium will be made available for public use.

Public users who wish to use the auditorium will be required to complete NRC Form 590. Application / Permit for Use of Two White Flint North (TWFN) Auditorium. The i

information is needed to allow for administrative review, security review, approval of the requester to facilitate l

scheduling, and to make a determination'that there are no l

l anticipated problems with the requester prior to utilization of the facility.

A copy of the draft supporting statement may be reviewed free of charge l

at the NRC Public Document Room. 2120 L Street NW, (lower level).

j Washington. DC. Members of the public who are in the Washington. DC.

area can access this document via modem on the Public Document Room Bulletin Board (NRC's Advanced Copy Document Library). NRC subsystem at FedWorld. 703-321-3339. Members of the public who are located outside of the Washington. D'C area can dial FedWorld. 1-800-303-9672. or use the FedWorld Internet address:

fedworld. gov (Telnet).

The document will i

be available on the bulletin board for 30 days after the signature date of this notice.

If assistance is needed in accessing the document.

l please contact FedWorld help desk at 703-487-4608. Additional t

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assistance in locating the document is available from the NRC Public Document Room, nationally at 1-800-397-4209. or within the Washington.

DC. area at 202-634-3273.

Comments and questions may be directed to the NRC Clearance Officer. Brenda l

Jo. Shelton. U. S. Nuclear Regulatory Commission. T-6 F33. Washington. DC.

20555-0001. or by telephone at (301) 415-7233, or by Internet electronic mail at BJS10NRC. GOV.

Dated at Rockville, Maryland, this' //- day of h 4.i.1996.

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i For le Nuclear Regulatory Commission.

9 Asnm Gerald F. Cranford. Design ted Senio Official for Information Resources Management i

l OMB SUPPORTING STATEMENT FOR NRC FORM 590 APPLICATION / PERMIT FOR USE OF THE TWO WHITE FLINT NORTH (TMFN) AUDITORIUM (3150-0181)

Descriotion of the Information Collection The U. S. Nuclear Regulatory Commission (NRC) has an auditorium which is available for use by the public.

In accordance with he Public Buildings Act of 1959. an agreement was reached between the Maryland-National Capital Park and Planning Commission (MPPC). the General Services Administration (GSA) and the NRC, which states that the auditorium will be made available for public use. Members of the public who wish to use the auditorium must complete NRC Form 590. Application / Permit for Use of Two White Flint North (TWFN)

Auditorium, which must be approved prior to public use of the facility.

The form requests identifying information, purpose of use, certification for solicitation of funds, copies of distribution or display samples, documentation of authority to represent an organization, acknowledgement of liability for damages, and a checklist of service needs and allows for administrative and security reviews and final approval for use of the facility.

A.

JUSTIFICATION 1.

Need for and Practical Utility AaenCv Use of the Collection of Information.

The NRC Form 590. Application / Permit for Use of Two White Flint North (TWFN) Auditorium would be review by Facility Management Personnel and by the Division of Security., The information is needed to allow for administrative review, security review, approve of the requester, to facilitate scheduling, and to make a determination that there are no anticipated 3roblems with the requester prior to utilization of the facility.

Su) mission of the form provides the public user with an opportunity to become acquainted with requisite fees, rules, regulations, liabilities for damage and a checklist of service needs.

2.

Aaency Use of Information.

The NRC uses the information for processing requests made for use of the auditorium.

3.

Reduction of Burden throuah Information Technoloav. There are no legal obstacles to reducing the burden associated with this information collection assuming that sensitive information can be protected from improper disclosure. However, since this is a one-time collection, it is unlikely that burden can be reduced through the use of information technology.

4.

Effort to Identify Duplication and Use Similar Information. The NRC Form 590. Application / Permit for Use of Two White Flint North (TWFN) l Auditorium is unique to NRC in that it supports an agreement between I

the NRC, GSA and MPPC that the auditorium will be made available for i

public use. The Information Requirements Control Automated System (IRCAS) was searched and no duplication was found.

Information to i

be provided by the public-user is not otherwise available.

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5.

Effort to Reduce Small Business Burden. The collection represents the minimum information required for review and approval of a member of the aublic requesting to use a Government facility. The burden cannot )e further reduced.

6.

Conseauences to Federal Proaram or Policy Activities if the Collection Is Not Conducted or is Conducted Less Freouently.

Information requested to be submitted on the NRC Form 590, other than identifying information, is unique for each use of the auditorium. Therefore, this is the minimum frequency that the information can be requested.

If the information is not collected the public will not have excess to the NRC's auditorium.

7.

Circumstances Which Justify Variation from OMB Guidelines. Not applicable.

8.

Consultations Outside the NRC. Op)ortunity to comment on the collection has been published in t1e Federal Reaister.

9.

Payment or Gift to Resoondents.

Not applicable.

10. Confidentiality of the Information.

NRC provides no pledge of confidentiality for this collection of information.

To the extent information is business confidential, procedures are in place to protect the information from improper disclosure.

11. Justification for Sensitive Questions.

Normally serisitive information considered private or personal is not required or requested.

12. Estimated Burden and Burden Hour Cost.

The total annual public burden for completing NRC Form 590. Application / Permit for Use of Two White Flint North (TWFN) Auditorium is 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> at a cost of

$1.584.

The annual burden and cost estimate were derived from an estimate of the a) proximate number of public users expected to use the facility ad t1e approximate number of hours each requester would have to expend to comply with the NRC requirements of the form (48 i

requesters x.25/ hrs. per request - 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> x $120/ hour = $1.440).

13. Estimate of Other Additional Costs.

None.

14. Estimated Annualized Cost to the Federal Government.

The cost to the agency for processing the proposed NRC Form 590.

Application / Permit for Use of Two White Flint North (TWFN)

Auditorium was derived from experience as to the approximated number 1

of facility management and security personnel would expend in-ensuring that the public user is reviewed and approved.

Facility management and security personnel would expend an average of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> to review each request for a total cost to the agency of 55.760 (48 l

requests X 1 hours1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> X $120/hr). Costs are recovered by the facility j

rental fee.

15. Reason for Chances in Burden or Cost.

The cost has decreased due to i

a reduction in the standard hourly fee.

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16. Publication for Statistical Use. Results will not be tabulated or published.

17. Reason for Not Disolavino the Exoiration uate. The expiration date is displayed.

18. Exceotions to the Certification Statement 8.

COLLECTION OF INFORMATION EMPLOYING STATISTICAL METHODS This collection of information does not employ statistical methods.

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NRC FORM 690 U. E. NUCLEAR REGULATORY COMMISSION APPROYED m.Y oMe: NO. 31504141 EXPlREA 05414 l

(MMAn()

Eameted bu,d.n per - e come e.a warmeon amecoon l

request 15 mmutes. Thas irdormaban se requested by NRC to determine the l

acceptabddy of the user and the scheduhng and SetWces needed. Forward APPLICATION / PERMIT FOR USE OF THE cornmanis,o.e,d

-den.a maM = ih. worma or, and Records l

Managernent Branch (T4 F33). u S. Nuclear Reg wa*asica. oC 2amom1. and = ins Pa,e-ulatory C.unemssion, TWO WHITE FLINT NORTH (TWFN) AUDITORIUM R.duc on %

(315Go181). Othee of Mana0ement and Budget, Washengton, DC 205o3 NRC may not conduct or sponsor, and a person as not eequved b respond b, a co8eccon or wormabon unless it displays a currendy valid CM8 control number.

l lNSTRUCTIONS: Please submit with Ltds applicatbn a copy, sample, or dem,.Wi of any material or item (s) proposed for distnbubon or desplay l

Complete the check list of service needs for public-use space on the reverse of this form. Failure to complete this form will result in denial of a permit.

j IMPORTANT: If the applicant proposes to represent an organization, a letter or other documentatx)n that the appilcant has authority to represent that

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organization must be submitted with this form.

1.

PROPOSED FROM (MDOWY)

HOUR AM TO (WDONY)

HOUR AM DATE(S)

Pu pu

2. HAME OF APPt.lCANT (Fwst, Meddie Irucas, Last)

TELEPHONE NUMBER (Include Area Code)

AOCRESS (Street, sude/ Apt No, Cay. State, zlP Code) 3 NAME OF PERSON OR ORGANtZATK)N SPONSORING, PROMOTING, OR CONDUCTING THE PROPOSED ACTMTY TELEPHONE NUMBER (include Area Code)

ADCRESS (Street, Suda/ Apt No, Cny State, zlP Code) 4 NAME OF PERSON (S) WHO WILL SUPERYlSE/BE RESPONSIBLE FOR THE PROPOSED ACTMTV TELEPHONE NUMBER (include Area Code) l ADORES 3 (Street, Suite / Apt No, Cdy, State, zlP Code) 5 DESCRIPHON OF PROPOSED ACTIVITY j

6, CERTIFICATION AN APPLICANT PROPOSING TO ENGAGE IN THE SOLICITATION OF FUNDS MUST CHECK ONE OF THE FOLLOWING STATEMENTS:

1 CERTIFY THAT:

I represent and wit! be soliciting funds for the sole benent of a religion or religious group.

My organization has received an official Internal Revenue Service (IRS) ruling or letter of determination stating that the organization or its parent organization qual:6es for tax 4xempt status under 26 U.S.C. 501(c)(3), (c)(4), or (c)(5).

My organization has applied to the IRS for a determination of tax exempt status under 26 U.S.C. 501(c)(3), (c)(4), or (c)(5), and that the IRS has not yet issued a final administrative ruling or determination of such status.

I certify that I am authorized to sign this application on behalf of the named organization, I have read and fully Comprehend all fees, rules, and regulations contained in the policies and proceduies associated with the use of the Two White Flint North Auddorium. I fully accept liability for any damages that may occur dunng the scheduled use or any addstional charges that may result from the designated use of the audttorium.

SK) NATURE - APPhlCANT DATE NRC FORM SOO (MM YY)

PRINTED ON RECYCLED PAPER

_m CHECK LIST OF SERVICE NEEDS FOR PU'BLIC-USE SPACE AUDITORIUM (Check # ems needed)

CATERING KITCHEN 1

MICROPHONE WILL FOOD OR DRINK BE SERVED DURING PROGRAM HOURS?

YES NO PODIUM lt is the user's responsibility to assure that the kitchen is clean and in order before leaving the premises.

DIAS CONFIGURATION g$i@ip3.

1. Bnf@gS isgU$$[6%yj$[6hyniyys]E

's ^ d W",

A SCHEDULE OF HOURLY COSTS FOR SERVICES l

All programs are after NRC normal hours of operation. The following iS a Schedule of hourly costs for services.

4 FEE SCHEDULE FEE FROM A M.

P,M.

TO A M.

P.M.

COST 1 HOUR OR FRACTION OF 1 HOUR 2 HOURS OR 1 HOUR AND

$315 FRACTION OF SECOND HOUR 3 HOURS OR 2 HOURS AND g

FRACTION OF THIRD HOUR 4 HOURS OR LONGER

$135 / HOUR TOTAL ADMINISTRATIVE REVIEW 1

APPROVED DISAPPROVED l

IF DISAPPROVED, REASON FOR DISAPPROVAL i

J REVIEWING Of F OAL (Typed a pretted name and 6tne)

$KiNA TURL DATE SECURITY REVIEW APPROVED DISAPPROVED REVGWING OFF OAL (TnWapnnsed neme and ef>s)

SGNATURE DATE PERMIT FOR USE OF THE TWO WHITE FLINT NORTH AUDITORIUM APPROVED BASED UPON ADMINISTRATIVE AND SECURITY REVIEWS, THIS APPLICATION IS DISAPPROVED CJ4HOVING Of FOAL (Typed a Armded name and bDef SGNATURE DATE NRC F OHM SfA.I (MM YY)

PHINIE D ON RE CYCLE D PAPE R

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