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