ML18151B019
| ML18151B019 | |
| Person / Time | |
|---|---|
| Issue date: | 05/31/2018 |
| From: | Information Services Branch |
| To: | |
| Shared Package | |
| ML18151B011 | List: |
| References | |
| Download: ML18151B019 (1) | |
Text
DUPLICATION REQUEST NRC FORM 171 (MM-YYYY)
U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0066 EXPIRES: (MM/DD/YYYY)
NRC FORM 171 (MM-YYYY)
REQUEST NUMBER DATE OF REQUEST DOCUMENT FILE INFORMATION IDENTIFICATION NO. OF COPIES OUTPUT CATEGORY BILL TO SEND TO (if different from BILL TO)
ORGANIZATION NAME ADDRESS CITY, STATE, ZIP CODE TELEPHONE (Include Area Code/Ext)
FAX TELEPHONE (Include Area Code/Ext)
ORGANIZATION NAME ADDRESS CITY, STATE, ZIP CODE TELEPHONE (Include Area Code/Ext)
FAX TELEPHONE (Include Area Code/Ext)
PICKUP AT PDR MAIL (U.S. POSTAL SERVICE)
VISA MASTER CARD DISCOVER AMERICAN EXPRESS CREDIT CARD NUMBER (Include Hyphens -)
EXPIRATION DATE ORDERED BY (INITIALS)
COMPLETED BY (INITIALS)
SPECIAL INSTRUCTIONS OUTPUT CATEGORIES:
P = PAPER M = MICROFICHE AD = APERTURE DUPLICATE CD = CD-ROM AR = APERTURE REDUCED BLOWBACK AF = APERTURE FULL BLOWBACK PDF = PDF FILE DVD = DVD-ROM SHIPPING METHODS PICKUP AT COPY SERVICE UPS (UNITED PARCEL SERVICE)
FAX FEDERAL EXPRESS OTHER:
CUSTOMER EMAIL ADDRESS SHIPPING OPTION ACCT. NO. (If applicable)
OTHER (Specify)
EMAIL AMEX CARD NUMBER (Include Hyphens -)
EXPIRATION DATE COPY ACCOUNT ON FILE REPRODUCTION CONTRACTOR Estimated burden per response to comply with this information request to obtain a benefit: 5 minutes. This data is needed to locate the information requested by the individual. Send comments regarding burden estimate to the Information Services Branch (T-2F43), 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, (3150-0066),
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.
DUPLICATION REQUEST NRC FORM 171 (03-2016)
U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0066 EXPIRES: (MM/DD/YYYY)
NRC FORM 171 (MM-YYYY)
REQUEST NUMBER DATE OF REQUEST DOCUMENT FILE INFORMATION IDENTIFICATION NO. OF COPIES OUTPUT CATEGORY BILL TO SEND TO (if different from BILL TO)
ORGANIZATION NAME ADDRESS CITY, STATE, ZIP CODE TELEPHONE (Include Area Code/Ext)
FAX TELEPHONE (Include Area Code/Ext)
ORGANIZATION NAME ADDRESS CITY, STATE, ZIP CODE TELEPHONE (Include Area Code/Ext)
FAX TELEPHONE (Include Area Code/Ext)
PICKUP AT PDR MAIL (U.S. POSTAL SERVICE)
VISA MASTER CARD DISCOVER AMERICAN EXPRESS CREDIT CARD NUMBER (Include Hyphens -)
EXPIRATION DATE ORDERED BY (INITIALS)
COMPLETED BY (INITIALS)
SPECIAL INSTRUCTIONS OUTPUT CATEGORIES:
P = PAPER M = MICROFICHE AD = APERTURE DUPLICATE CD = CD-ROM AR = APERTURE REDUCED BLOWBACK AF = APERTURE FULL BLOWBACK PDF = PDF FILE DVD = DVD-ROM SHIPPING METHODS PICKUP AT COPY SERVICE UPS (UNITED PARCEL SERVICE)
FAX FEDERAL EXPRESS OTHER:
CUSTOMER EMAIL ADDRESS SHIPPING OPTION ACCT. NO. (If applicable)
OTHER (Specify)
EMAIL AMEX CARD NUMBER (Include Hyphens -)
EXPIRATION DATE COPY ACCOUNT ON FILE RECIPIENT Estimated burden per response to comply with this information request to obtain a benefit: 5 minutes. This data is needed to locate the information requested by the individual. Send comments regarding burden estimate to the Information Services Branch (T-2F43), 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, (3150-0066),
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.
DUPLICATION REQUEST NRC FORM 171 (MM-YYYY)
U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0066 EXPIRES: (MM/DD/YYYY)
NRC FORM 171 (MM-YYYY)
REQUEST NUMBER DATE OF REQUEST DOCUMENT FILE INFORMATION IDENTIFICATION NO. OF COPIES OUTPUT CATEGORY BILL TO SEND TO (if different from BILL TO)
ORGANIZATION NAME ADDRESS CITY, STATE, ZIP CODE TELEPHONE (Include Area Code/Ext)
FAX TELEPHONE (Include Area Code/Ext)
ORGANIZATION NAME ADDRESS CITY, STATE, ZIP CODE TELEPHONE (Include Area Code/Ext)
FAX TELEPHONE (Include Area Code/Ext)
PICKUP AT PDR MAIL (U.S. POSTAL SERVICE)
VISA MASTER CARD DISCOVER AMERICAN EXPRESS CREDIT CARD NUMBER (Include Hyphens -)
EXPIRATION DATE ORDERED BY (INITIALS)
COMPLETED BY (INITIALS)
SPECIAL INSTRUCTIONS OUTPUT CATEGORIES:
P = PAPER M = MICROFICHE AD = APERTURE DUPLICATE CD = CD-ROM AR = APERTURE REDUCED BLOWBACK AF = APERTURE FULL BLOWBACK PDF = PDF FILE DVD = DVD-ROM SHIPPING METHODS PICKUP AT COPY SERVICE UPS (UNITED PARCEL SERVICE)
FAX FEDERAL EXPRESS OTHER:
CUSTOMER EMAIL ADDRESS SHIPPING OPTION ACCT. NO. (If applicable)
OTHER (Specify)
EMAIL AMEX CARD NUMBER (Include Hyphens -)
EXPIRATION DATE COPY ACCOUNT ON FILE PDR STAFF Estimated burden per response to comply with this information request to obtain a benefit: 5 minutes. This data is needed to locate the information requested by the individual. Send comments regarding burden estimate to the Information Services Branch (T-2F43), 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, (3150-0066),
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.