NRC Form 390A - Release to Publish Unclassified NRC Contractor Speeches, Presentations, Papers, and Journal Articles| ML13083A122 |
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| Issue date: |
10/31/2016 |
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NRC/OCIO/GEMSD/IMSB |
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| References |
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| Download: ML13083A122 (1) |
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Category:NRC Forms (Blank)
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NRC FORM 390A U.S. NUCLEAR REGULATORY COMMISSION (10-2016)
NRCMD 3.9 RELEASE TO PUBLISH UNCLASSIFIED NRC CONTRACTOR SPEECHES, PRESENTATIONS, PAPERS, AND JOURNAL ARTICLES
- 1. Title (State in full as it appears on the speech, presentation, paper, or journal article)
- 2. Author(s)
- 3. Name of Conference, Location, and Date(s)
- 4. Name of Publication
- 5. Name and Address of the Publisher 6. Telephone Number of the Publisher (Enter 10 numeric digits)
- 7. Contractor Name and Complete Mailing Address (Include zip code) 8. Telephone Number of Contractor (Enter 10 numeric digits)
YES NO 9. Certification (Answer all questions)
Does this speech, presentation, paper, or journal article contain copyrighted material?
A. Copyrighted Material - If yes, attach a letter of release from the source that holds the copyright.
Does this speech, presentation, paper, or journal article require patent clearance?
B. Patent Clearance - If yes, the NRC Patent Counsel must signify clearance by signing below.
NRC Patent Counsel (Type or print name) Signature Date Is all material referenced in this speech, presentation, paper, or journal article available to the public either C. Reference Availability - through a public library, the Government Printing Office, the National Technical Information Service, or the NRC Public Document Room? If no, list below the specific availability of each referenced document.
Specific Availability Does this speech, presentation, paper, or journal article contain measurement and weight values? If yes, all must be converted to the International System of Units, followed by the English units in brackets, pursuant to D. Metric Unit Conversion - the NRC Policy Statement implementing the Omnibus Trade and Competitiveness Act of 1988, Executive Order 12770, July 25, 1991.
- 10. Authorization The signatures of the NRC project manager and the contractor official jointly certify that the contractor speech, presentation, paper, or journal article is authorized by the contractor and the NRC, that it has undergone appropriate peer review for technical content and for material that might compromise commercial proprietary rights, and that it does not contain classified, sensitive unclassified, or nonpublic information. (NRC Directive Handbook 3.9,Section II.A.2)
A. Contractor Authorizing Official (Type or print name) Signature Date B. NRC Responsible Project Manager or Division Director (Type or print name) Office/Division/Branch Mail Stop E-MAIL Phone Number Signature Date Did you place the speech, presentation, paper, If so, provide the ADAMS Accession No.
or journal article in ADAMS?
Yes No (Use Template ADM 039)
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