ML18313A145

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OMB 3150-0164, NRC Form 540A
ML18313A145
Person / Time
Issue date: 06/26/2019
From: Lloyd Desotell
Division of Decommissioning, Uranium Recovery and Waste Programs
To:
L DESOTEL DUWP
Shared Package
ML18313A143 List:
References
OMB 3150-0164
Download: ML18313A145 (1)


Text

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST SHIPPING PAPER (CONTINUATION)

NRC FORM 540A (MM-YYYY)

U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 540A (MM-YYYY)

PAGE(S)

PAGE

8. MANIFEST NUMBER (Use this number on all continuation pages)

U.S. DEPARTMENT OF TRANSPORTATION DESCRIPTION (Including proper shipping name, hazard class, UN ID number, and any additional information) 12.

DOT LABEL "RADIOACTIVE" 13.TRANSPORT INDEX 14.

PHYSICAL AND CHEMICAL FORM 15.

INDIVIDUAL RADIONUCLIDES TOTAL WEIGHT OR VOLUME (Use appropriate units)

IDENTIFICATION NUMBER OF PACKAGE OF 11.

TOTAL PACKAGE ACTIVITY IN SI UNITS LSA/SCO CLASS 16.

17.

18.

19.

APPROVED BY OMB: NO. 3150-0164 EXPIRES: (MM/DD/YYYY)

Estimated burden per response to comply with this information collection request: 45 minutes. This uniform manifest is required by NRC to meet reporting requirements of Federal and State Agencies for the safe transportation and disposal of low-level waste. Send comments regarding burden estimate to the Information Services Branch (T-6 A10M), 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, (3150-0164), 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.

Instructions: See NUREG/BR-0204 for detailed instructions for completing this form: http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/