ML14300A186
| ML14300A186 | |
| Person / Time | |
|---|---|
| Issue date: | 11/30/2017 |
| From: | NRC/OCIO/GEMSD/IMSB |
| To: | |
| References | |
| Download: ML14300A186 (10) | |
Text
GENERAL INFORMATION INTERNATIONAL ATOMIC ENERGY AGENCY DEPARTMENT OF SAFEGUARDS AND INSPECTION CONFIDENTIAL WHEN COMPLETED DESIGN INFORMATION QUESTIONNAIRE
- IAEA USE ONLY CONFIDENTIAL N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
DATE:
LOCATION AND POSTAL ADDRESS FOR ROUTINE BUSINESS PURPOSES 1.
3 (CONTINUED)
Locations where the amount of nuclear material is less than one effective kilogram (for each separate location, attach separate sheet).
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
- 2. OWNER (legally responsible)
- Questions which are not applicable may be left unanswered.
The "Confidential" marking on this form is for IAEA purposes only. It indicates that the IAEA considers the information in the completed form to be
'safeguards confidential' and is not to be confused with any U.S. security classification.
Estimated burden per response to comply with this mandatory collection request: 360 hours0.00417 days <br />0.1 hours <br />5.952381e-4 weeks <br />1.3698e-4 months <br />.
NRC is required to collect this information for reporting to IAEA from facility licensees appearing on the U.S. Eligible List. Send comments regarding burden estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0056), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
APPROVED BY OMB: NO. 3150-0056 EXPIRES: 08/31/2020
NUCLEAR MATERIAL DESCRIPTION AND FLOW GENERAL INFORMATION DATE:
OPERATOR (legal responsible) 3.
NAMES AND/OR TITLES AND ADDRESS OF RESPONSIBLE OFFICERS (for nuclear material accountancy and control and contact with the Agency) 4.
TYPE OF NUCLEAR MATERIAL 5.
CONFIDENTIAL 4
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
NUCLEAR MATERIAL DESCRIPTION AND FLOW 6.
DATE:
5 CONFIDENTIAL GENERAL MATERIAL DESCRIPTION (for each type)
Chemical and Physical Form i)
Enrichment Range and Pu Content ii) iii)
Amounts of Nuclear Material Usually Kept at the Location MEANS OF NUCLEAR MATERIAL IDENTIFICATION 7.
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
NUCLEAR MATERIAL DESCRIPTION AND FLOW 8.
DATE:
6 CONFIDENTIAL RADIATION LEVEL (at the surface of the nuclear material, at a distance of 1 metre)
IF NECESSARY, ATTACH DRAWING(S)
DESCRIPTION OF MAIN CONTAINERS USED FOR STORAGE AND HANDLING NUCLEAR MATERIAL TRANSFER EQUIPMENT IDENTIFICATION OF MEASUREMENT POINTS, ACCOUNTABILITY AREAS, INVENTORY LOCATION 11.
FLOW SHEET(S) ATTACHED UNDER REFERENCE NUMBERS:
9.
10.
IF NECESSARY, ATTACH DRAWING(S)
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
PROTECTION AND SAFETY MEASURES 12.
DATE:
7 CONFIDENTIAL BASIC MEASURES FOR PHYSICAL PROTECTION OF NUCLEAR MATERIAL SPECIFIC HEALTH AND SAFETY RULES FOR INSPECTOR COMPLIANCE 13.
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL 14.
DATE:
8 CONFIDENTIAL DESCRIPTION OF THE SYSTEM Give description of:
SPECIMEN FORMS USED IN ALL PROCEDURES ATTACHED UNDER REFERENCE NUMBERS:
the nuclear material accountancy system the method of recording and reporting accountancy data and establishing material balance the procedures for account adjustment after inventory, etc.
under the following headings:
General i)
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL DESCRIPTION OF THE SYSTEM (Continued) 14.
9 CONFIDENTIAL ii)
Receipts DATE:
Shipments iii)
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL DESCRIPTION OF THE SYSTEM (Continued) 14.
10 CONFIDENTIAL iv)
Measured Discards and Retained Waste DATE:
Operational Records and Accounting Records (including method adjustment or correction and place of preservation and language) vi)
Physical Inventory Description of procedures, scheduled frequency, method of operator's inventory taking, expected accuracy, access to nuclear material v)
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL SEPARATE SHEET(S) CAN BE ATTACHED FOR EACH MEASUREMENT POINT. IF NECESSARY, ATTACH DRAWING(S)
FOR EACH MEASUREMENT POINT OF ACCOUNTABILITY AREAS, IDENTIFIED UNDER QS. 11, GIVE THE FOLLOWING (if applicable) 15.
11 CONFIDENTIAL i)
Description of Location, Type, Identification DATE:
Measurement Method(s) and Equipment Used iii)
Physical and Chemical form of Nuclear Material (with cladding materials description) ii)
Method of Converting Source Data to Batch Data iv)
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*
OPTIONAL INFORMATION NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL 15.
DATE:
12 CONFIDENTIAL OPTIONAL INFORMATION (that the operator considers relevant to safeguarding the nuclear material) 16.
FOR EACH MEASUREMENT POINT OF ACCOUNTABILITY AREAS, IDENTIFIED UNDER QS. 11, GIVE THE FOLLOWING (if applicable)
(Continued)
Means of Batch Identification and Batch Data Description v)
Date:
Signature of Responsible Officer:
N-91 (11-2017)
INFORMATION IN RESPECT OF NUCLEAR MATERIAL OUTSIDE FACILITIES*