ML13083A174
| ML13083A174 | |
| Person / Time | |
|---|---|
| Issue date: | 07/31/2019 |
| From: | NRC/OCIO/GEMSD/IMSB |
| To: | |
| References | |
| Download: ML13083A174 (3) | |
Text
This form serves as a certification used to identify a small entity, and is exempt from Office of Management and Budget clearance. 5 C.F.R. 1320.3(h)(1).
NRC FORM 526 U.S. NUCLEAR REGULATORY COMMISSION (07-2019) 10 CFR 171 CERTIFICATION OF SMALL ENTITY STATUS FOR THE PURPOSES OF ANNUAL FEES IMPOSED UNDER 10 CFR PART 171 (Effective July 16, 2019)
If you have QUESTIONS, e-mail them to: SmallEntity.Resource@nrc.gov SEE IMPORTANT INSTRUCTIONS FOR NRC FORM 526 -- PLEASE READ CAREFULLY -- DO NOT RETURN THIS FORM IF YOU HAVE NOT COMPLETED ALL OF THE INFORMATION BELOW. For example, an incomplete form will be returned without processing. This includes an incomplete Name and Address; Invoice Number (LFB xx-xxxx); Docket Number, Contact Name, E-mail address, NAICS Code or Signature.
A licensee must submit a new Small Entity Certification Form with payment each year in order to be considered for small entity status.
In order to expedite the processing of your small entity certification form, it is recommended that a copy of the completed form be e-mailed to SmallEntity.Resource@nrc.gov with a receipt of your Small Entity payment from www.pay.gov or your NRC Form 629 Authorization for Payment by Credit Card.
Name and Address of Licensee (as it appears on the invoice) Invoice Number Business Telephone Number Docket Number Contact Name E-mail Address Company Website Address Contact Telephone Number www.
SIZE STANDARDS MAXIMUM ANNUAL FEE PER LICENSED CATEGORY (Check only 1 box below). (See Items 2 and 3 on back)
- 1. Small Business A for-profit concern that is not engaged in manufacturing with average A. $485,000 to $7,000,000 $ 4,500 GROSS receipts of $7.0 million or less over its last 3 completed fiscal years. For further information see 1a and 1b of attached instructions. B. Less than $485,000 $ 900
- 2. Manufacturing Industry A manufacturing concern with an average number of 500 or fewer A. 35 to 500 Employees $ 4,500 employees based upon employment during each pay period for the preceding 12 calendar months. B. Less than 35 Employees $ 900 NAICS Business Code:
(See 1b and 1e of attached instructions)
- 3. Small Organization A not-for-profit organization that is independently owned and operated A. $485,000 to $7,000,000 $ 4,500 and has annual GROSS receipts of $7.0 million or less. For further information see 1a and 1b of attached instructions. B Less than $485,000 $ 900
- 4. Small Governmental Jurisdiction (Including Publicly Supported Educational Institutions)
A. 20,000 to 49,999 population of jurisdiction $ 4,500 A government of a city, country, town, township, village, school district, or special district with a population of less than 50,000. B. Less than 20,000 population of jurisdiction $ 900 For further information see 1f of attached instructions.
- 5. Small Educational Institution that is not State or Publicly Supported Only applicable to such small educational institutions if they have 500 A. 35 to 500 Employees $ 4,500 or less employees. For further information see 1b and 1f of attached instructions. B. Less than 35 Employees $ 900 CERTIFICATION This certification MUST be signed by the owner of the entity named above or an official empowered to act on behalf of the entity.
I certify that the above named NRC licensee qualifies as a small entity under the size standards established by the NRC for its licensees in 10 CFR 2.810. The licensee qualifies as a small entity under the specific size standard indicated above.
WARNING: 18 U.S.C. Section 1001, Act of June 25, 1948, 62 Stat. 749, makes it a criminal offense to make a willfully false statement or representation to any Department or Agency of the United States as to any matter within its jurisdiction. The submittal of willful false statements is punishable by fine or imprisonment, or both, and for purposes of this certification, may result in revocation or suspension of the license.
I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Typed or Printed Name and Title Signature Date See Attached Instructions
NRC FORM 526 U.S. NUCLEAR REGULATORY COMMISSION (07-2019) 10 CFR 171 CERTIFICATION OF SMALL ENTITY STATUS FOR THE PURPOSES OF ANNUAL FEES IMPOSED UNDER 10 CFR PART 171 (Effective July 16, 2019) (Continued)
If you have QUESTIONS, e-mail them to: SmallEntity.Resource@nrc.gov IMPORTANT INSTRUCTIONS FOR NRC FORM 526 -- PLEASE READ CAREFULLY DO NOT COMPLETE OR RETURN THIS FORM IF YOU DO NOT QUALIFY AS A SMALL ENTITY A licensee who qualifies as a small entity under a specific size standard established by the NRC may pay a reduced annual fee by filing the required certification on NRC Form 526, which is on the reverse side of this page.
A separate NRC Form 526 is required for each invoice. Licensees who do not qualify under one of the 5 size standards shown on NRC Form 526 should disregard this form.
- 1. Complete all items on NRC Form 526 as follows: (NOTE: Incomplete or improperly completed forms will be returned as unacceptable.)
Enter the licensee's name and address exactly as they appear on the invoice. Annotate name and/or address changes for billing purposes on the payment copy of the invoice -- Correcting the name and/or address on NRC Form 526 or on the invoice does not constitute a request to amend the license.
Enter the invoice number exactly as it appears on the invoice.
Enter the company's business telephone number. Enter the docket number exactly as it appears on the invoice.
Enter the contact person's name and e-mail address. Enter the company's website address (if applicable),
and the contact person's telephone number.
Check the appropriate size standard under which the licensee qualifies as a small entity. Check one box only. Note the following:
- a. A licensee that is a subsidiary of a large entity, including foreign entities, does not qualify as a small entity. The calculation of a firm's size must include the employees or receipts of the parent company and all other affiliates. Affiliation with another concern is based on the power to control whether exercised or not. Such factors as common ownership, common management and identity of interest are indications of affiliation. The affiliated business concerns need not be in the line of business listed in the license.
- b. Gross annual receipts, as used in the size standards, include all revenue received or accrued by your company from all sources, regardless of the form of the revenue, and not solely receipts from licensed activities. Receipts of a for-profit concern not engaged in manufacturing means average gross receipts over its last three completed fiscal years. (For additional information on calculating annual receipts, see 13 C.F.R. 121.104.) By contrast, number of employees of a manufacturing concern is based on employment during each pay period for the preceding 12 calendar months. (For additional information on calculating number of employees, see 13 C.F.R.121.106.)
- c. NRC's size standards on small entity are generally based on the Small Business Administration's regulations (13 C.F.R. Part 121). However, where there is a direct conflict between the Small Business Administration's regulations and NRC regulations on the subject, NRC regulations are applicable to NRC licensees.
- d. The size standards apply to the licensee, not to the individual authorized users who may be listed in the license.
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NRC FORM 526 U.S. NUCLEAR REGULATORY COMMISSION (07-2019) 10 CFR 171 CERTIFICATION OF SMALL ENTITY STATUS FOR THE PURPOSES OF ANNUAL FEES IMPOSED UNDER 10 CFR PART 171 (Effective July 16, 2019) (Continued)
If you have QUESTIONS, e-mail them to: SmallEntity.Resource@nrc.gov
- e. If you are a manufacturer, enter your North American Industry Classification System business code in the narrow, elongated box provided for that purpose under MANUFACTURING INDUSTRY on Form 526. In accordance with the North American Industry Classification System (NAICS), each business is assigned a NAICS business code. If you do not know your NAICS business code it can be obtained on the internet at www.census.gov.
- f. As used in Form 526, "educational institution" means an entity that has education as its primary function; that offers programs accredited by a nationally recognized accrediting agency or association; that is legally authorized to provide a program of organized instruction or study; that provides an educational program for which it awards academic degrees; and that makes its educational programs available to the public.
- 2. If the invoice states the "Amount Billed Represents 50% Proration," the amount due is not the prorated amount shown on the invoice, but rather one-half of the maximum small entity annual fee shown on NRC Form 526 for the size standard under which the licensee qualifies (either $2,250 or $450) for each category billed.
- 3. If the invoice amount is less than the reduced small entity annual fee shown on this form, pay the amount on the invoice; there is no further reduction. In this case, do not file NRC Form 526. However, if the invoice amount is greater than the reduced small entity annual fee, file NRC Form 526 and pay the amount applicable to the size standard you checked on the form.
- 4. The completed NRC Form 526 must be submitted with the required annual fee payment and the "Payment Copy" of the invoice to the address shown on the invoice.
- 5. 10 CFR 171.16(c)(3) provides that a licensee must submit a new certification with its annual fee payment each year. A licensee must pay the full amount of the invoice, if the licensee fails to submit NRC Form 526 at the time the annual fee is paid.
NRC Form 526 can be accessed on the NRC's public website at:
http://www.nrc.gov/reading-rm/doc-collections/forms/nrc526.pdf.
NRC's Small Entity Compliance Guide is available online in the NRC Library at:
http://www.nrc.gov/reading-rm/adams.html. From this page, the public can gain entry into the Agencywide Documents Access and Management System (ADAMS), which provides text and image files of the NRC's public documents.
To obtain information quickly regarding small entities and annual fees, please contact the License Fee Billing Help Desk at (301) 415-7554 or by e-mail at:
SmallEntity.Resource@nrc.gov.
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