ML19150A307

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OMB 3150-0104, Draft 2020 Collection Renewal NRC Forms 366, 366A, 366B, Licensee Event Report - NRC Form 366B
ML19150A307
Person / Time
Issue date: 09/09/2019
From:
Division of Inspection and Regional Support
To:
NRC/OCIO
Shared Package
ML19150A230 List:
References
NRC-2019-0085, OMB 3150-0104
Download: ML19150A307 (1)


Text

NRC FORM 366B (MM-YYYY)

U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)

(FAILURE CONTINUATION)

APPROVED BY OMB: NO. 3150-0104 EXPIRES: (MM/DD/YYYY)

Estimated burden per response to comply with this mandatory collection request: 80 hours9.259259e-4 days <br />0.0222 hours <br />1.322751e-4 weeks <br />3.044e-5 months <br />. Reported lessons learned are incorporated into the licensing process and fed back to industry. 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, (3150-0104), 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.

(See NUREG-1022, R.3 for instruction and guidance for completing this form http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1022/r3/)

05000-

3. LER NUMBER REV NO.

SEQUENTIAL NUMBER YEAR

2. DOCKET NUMBER
1. FACILITY NAME
13. COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO IRIS NRC FORM 366B (MM-YYYY)

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