Paperwork Reduction Act Statement
This form contains information collection requirements that are subject to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). These information collections were approved by the Office of Management and Budget (OMB), approval numbers 3150-0005.
Public Protection Notification
The NRC may not conduct or sponsor, and a person is not required to respond to, a request for information or an information collection requirement unless the requesting document displays a currently valid OMB control number.
Privacy Act Statement for NRC Respondents
Pursuant to 5 U.S.C. 552a(e)(3), enacted into law by Section 3 of the Privacy Act of 1974 (Public Law 93-579), the following statement is furnished to individuals who supply information to the U.S. Nuclear Regulatory Commission on the REIRS Records Release Form. This information is maintained in a system of records designated as NRC-27 and described at 84 Federal Register 71558 (December 27, 2019), or the most recent Federal Register publication that is available in NRC’s Agencywide Documents Access and Management System (ADAMS).
Privacy Act Statement for DOE Respondents
OMB Control No. 1910-0300
The Department of Energy (DOE) will use the information collected through this system/database for the purpose of monitoring and recording levels of radiation exposure to individuals working or visiting DOE facilities. This is a database of occupational radiation exposure for all monitored DOE employees, contractors, subcontractors and members of the public. The Rule 10 CFR 835 702 (a) and (b) requires Annual Individual Radiation Exposure Records to be recorded therefore this requirement is mandatory. The DOE Order 231.1B, Environment, Safety and Health Reporting, requires the data to be reported into the Radiation Exposure Monitoring System Repository. DOE contractor personnel and other individuals’ radiation exposure records, social security numbers, and other records, in connection with registries of uranium, transuranic, or other elements encountered in the nuclear industry are maintained as described in the Department of Energy System of Records, DOE-35, “Personnel Radiation Exposure Records”.