OMB Burden Disclosure Statement

(01-94)

1910-0900

INSTRUCTIONS: In a continuing effort to improve the U.S. Department of Energy (DOE) Technical Standards, this form is

provided for use in submitting comments and suggestions for improvements. All users of DOE Technical Standards are invited

to provide suggestions. This form may be detached, folded along the lines indicated, taped along the loose edge (DO NOT

STAPLE) mailed to the address indicated or faxed to (423) 574-0382.

The submitter of this form must complete blocks 1 through 8.

The Technical Standards Program Office (TSPO) will forward this form to the Preparing Activity. The Preparing Activity

will reply to the submitter within 30 calendar days of receipt from the TSPO.

NOTE: This form may not be used to request copies of documents, nor to request waivers, deviations, or clarification of

specification requirements on current contractors. Comments submitted on this form do not constitute or imply authorization to

waive any portion of the referenced document(s) or to amend contractual requirements.

OMB Burden Disclosure Statement

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for

reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing

the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,

including suggestions for reducing this burden, to Office of Information Resources Management Policy, Plans, and Oversight,

Records Management Division, HR-422 - GTN, Paperwork Reduction Project (1910-0900), U.S. Department of Energy, 1000

Independence Avenue, S.W., Washington, DC 20585; and to the Office of Management and Budget (OMB), Paperwork Reduction

Project (1910-0900), Washington, DC 20503.

U.S. Department of Energy Technical Standards Program Office

c/o Performance Assurance Project Office

P.O. Box 2009, Bldg. 9201-3

Oak Ridge, Tennessee 37831-8065