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

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

NRC FORM 540A U.S. NUCLEAR REGULATORY COMMISSION 8. MANIFEST NUMBER (MM-YYYY) (Use this number on all continuation pages)

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

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

11. U.S. DEPARTMENT OF TRANSPORTATION DESCRIPTION 12. 13. 14. 15. 16. 17. 18. TOTAL WEIGHT 19. IDENTIFICATION DOT LABEL TRANSPORT PHYSICAL AND TOTAL PACKAGE LSA/SCO (Including proper shipping name, hazard class, UN ID number, INDIVIDUAL RADIONUCLIDES OR VOLUME NUMBER OF "RADIOACTIVE" INDEX CHEMICAL FORM ACTIVITY IN SI UNITS CLASS and any additional information) (Use appropriate units) PACKAGE NRC FORM 540A (MM-YYYY)