| Table 3. Annual Reporting Burden | ||||||
| Section | Description | Respondents | Responses per respondent | Responses | Burden hours per response | Burden | 
| 4.21(a), 4.22, 4.24, 4.231(a), 4.321 | Assurance of compliance with Subpart A, B, or C on NRC Form 781 | 50 | 1 | 50 | 1.5 | 75 | 
| 4.42 and 4.332 (NRC Form 782) | Submission of written complaint on NRC Form 782 | 2 | 1 | 2 | 1 | 2 | 
| 4.127(d) | Transition plan for structural changes to make a facility accessible to and useable by disabled persons | 0 | 1 | 0 | 5 | 0 | 
| 4.331 | Compliance review | 50 | 1 | 50 | 0.5 | 25 | 
| Total | 2 | 102 | 102 | |||
| Table 4. Annual Recordkeeping Burden | |||||
| Section | Description | Recordkeepers | Hours per recordkeeper | Burden | Retention period | 
| 4.32 | Maintenence of Federal financial assistance records | 200 | 1.5 | 300 | 3 years | 
| 4.125(d) | Maintenance of records of medical histories | 100 | 0.5 | 50 | 3 years | 
| 4.127(d) | Maintenance of a transition plan to make a facility accessible to and useable by disabled persons | 0 | 0.5 | 0 | Until changes are complete | 
| 4.231(e ) | Records of self-evaluation of policies and practices covered by Section 504 of the Rehabilitation Act of 1973, as amended | 200 | 1.5 | 300 | 3 years | 
| Total | 200 | 650 | |||
| Table 5. Annual Third-Party Disclosure Burden | ||||||
| Section | Description | Respondents | Responses per respondent | Responses | Burden hours per response | Burden | 
| 4.34, 4.232, and 4.322(b) | Notification of non-discrimination | 200 | 1 | 200 | 0.25 | 50 | 
| Total | 200 | 200 | 50 | |||
| Table 1. Total Annual Burden and Responses | ||||||
| Responses | Burden | Cost at $290/hr | ||||
| Reporting | 102 | 102 | $28,356 | |||
| Recordkeeping | 200 | 650 | $180,700 | |||
| Third Party Disclosure | 200 | 50 | $13,900 | |||
| Total | 502 | 802 | $232,580 | |||
| Item #13 Storage costs | $72 | |||||
| Table 2. Change in Burden and Responses | ||||||
| 2021 renewal | Current submission | Change | ||||
| Responses | Burden | Responses | Burden | Responses | Burden | |
| Reporting | 600 | 3,000 | 102 | 102 | -498 | -2,898 | 
| Recordkeeping | 200 | 600 | 200 | 650 | 0 | 50 | 
| Third Party Disclosure | 0 | 0 | 200 | 50 | 200 | 50 | 
| Total | 800 | 3,600 | 502 | 802 | -298 | -2,798 | 
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |