Human Reliability Program

Documents and Forms

Document Name Document Type
Form DOE F 470.3 Human Reliability Program Form
DOE F 470.3 Human Reliability Program (HRP) Certification DOE F 470.3-HRP Certification.FINAL.1.pdf Form
DOE F 470.4 Acknowledgement and Agreement to Participate In The Huma DOE F 470.4-Acknowledgment and Agreement To Participate In The Human Reliability Program (HRP).FINAL.pdf Form
DOE F 470.5 Authorization and Consent to Release Human Reliability P DOE F 470.5-Authorization and Consent To Release Human Reliability Program (HRP) Records In Connection With HRP)_FINAL_pdf.pdf Form
DOE F 470.7 Human Reliability Program (HRP) Alcohol Testing Form DOE F 470.7-Human Reliability Program (HRP) Alcohol Testing Form.FINAL.pdf Form
DOE F 470.12 Human Reliability Program (HRP) Alcohol Testing Form (LA DOE F 470.12 HRP Alcohol Testing Form - LANL Use Only.pdf Form

Information Collection (IC) Details

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Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

Affected Public:

Percentage of Respondents Reporting Electronically:

		Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.