ML20214U984

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Forwards Revised NRC Form 398,personal Qualifications statement-licensee & NRC Form 396,certification of Medical Exam by Facility Licensee.Forms Revised to Reflect Changes to 10CFR55 Effective on 870526.W/o Encls
ML20214U984
Person / Time
Site: Monticello, Dresden, Davis Besse, Palisades, Perry, Fermi, Kewaunee, Point Beach, Byron, Braidwood, Prairie Island, Callaway, Duane Arnold, Clinton, Cook, Quad Cities, La Crosse, Big Rock Point, University of Iowa, Zion, Dow Chemical Company, Ohio State University, LaSalle, Purdue University, 05000000, 05000294, 05000087, 05000356, University of Michigan, University of Missouri-Rolla, University of Wisconsin, University of Missouri-Columbia, University of Illinois
Issue date: 06/03/1987
From: Hehl C
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
CLEVELAND ELECTRIC ILLUMINATING CO., COMMONWEALTH EDISON CO., INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
References
NUDOCS 8706110399
Download: ML20214U984 (3)


Text

90 JUN 0 31997 Gentlemen:

Enclosed is a copy of the revised NRC Form 398, Personal Qualifications

- Statement - Licensee. Also enclosed is a copy of NRC Form 396, Certification of Medical Examination by Facility Licensee. These forms were revised to reflect the changes to 10 CFR Part 55 effective May 26, 1987.

Please ensure that all applications for licenses are submitted to the Region III Office on these revised forms.

Submittals using the previous forms will not be accepted.

The revised NRC Form 398 requires new applicants to complete each category completely including all education, training, an experience received up to the date of the application.

Ronewal, upgrade, multi-unit, and reapplication applicants are required to complete each category except that they need only to indicate the education, training, and experience received since their last application.

If an applicant indicates that he is a graduate of an INPO accredited operator training program AND certified (on NRC Form 474) or an NRC-approved simulation facility is used in the operator training program, then education, training, and experience do not have to be completed; however, new applications must still include the number of significant control manipulations under Item 12.3.

Other changes are detailed in Enclosure 2. is a set of instructions for the completion of all items on the NRC Form 398.

The revised NRC Form 396 shall be completed and signed by an authorized representative of the facility certifying that a physician has conducted a medical examination of the applicant as required in 10 CFR Part 55.21.

Additional copies of NRC Forms 396 and 398 can be obtained from Vivian Miller, U.S. Nuclear Regulatory Commission, Document Management Branch, Mail Stop W-548, Washington, DC 20555, or by calling Ms. Miller at 301/492-8273.

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If-you have any questions regarding these changes, please call our office at 312/790-5723.

Sincerely, f

Charles W. Hehl, Chief Operations Branch

Enclosures:

As stated cc w/ enclosures:

All Training Managers and all Reactor Supervisors / Managers cc w/o enclosures:

Standard Distribution See Attached Distribution RII RI Burdick/ls He (i. t "O.

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cc:

D. C. Cook Docket No. 50-315, No. 50-316 Perry Docket No. 50-440, No. 50-441 Braidwood Docket No. 50-456, No. 50-457 Byron Docket No. 50-454, No. 50-455 LaSalle Docket No. 50-373, No. 50-374 Dresden Docket No. 50-10, No. 50-237, No. 50-249 Quad Cities Docket No. 50-254, No. 50-265 Zion Docket No. 50-295, No. 50-304 Big Rock Point Docket No. 50-155 Palisades Docket No. 50-255 LACBWR Docket No. 50-409 Fermi 2 Docket No. 50-341 Clinton Docket No. 50-461 Duane Arnold Docket No. 50-331 Pr. Island Docket No.-50-282, No. 50-306 Monticello Docket No. 50-263 Davis-Besse Docket No. 50-346 Callaway Docket No. 50-483 Point Beach Docket No. 50-266, No. 50-301 Kewaunee Docket No. 50-305 Michigan State University Docket No. 50-294 Curators University Missouri Docket No. 50-123 Dow Chemical Docket No. 50-264 Iowa State University Docket No. 50-116 Purdue University Docket No. 50-182-University of Illinois Docket No. 50-151, No. 50-356 Ohio State University Docket No. 50-150 University of Michigan Docket No. 50-002i University of Missouri Docket No. 50-186 University of Wisconsin Docket No. 50-156 Westinghouse Nuclear Reactor Docket No.50-087 Single Copy Sent to:

RIII Green RIII Public Affairs Public Documents RIII Files DCS/RSB (RIDS)

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