ML20217N687

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Forwards Revised NRC Form-398, Personal Qualificatins Statement - Licensee & Form-396, Certification of Medical Exam by Facility License for Immediate Use for New Applications or License Renewals Sending to Nrc.W/O Encls
ML20217N687
Person / Time
Site: Nine Mile Point  
Issue date: 04/02/1998
From: Conte R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To: Tessier R
NIAGARA MOHAWK POWER CORP.
References
NUDOCS 9804090172
Download: ML20217N687 (5)


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g APR 2 jggg Mr. Robert W. Tessier

, Manager. Training Niagara Mohawk Power Corp.

Nuclear Training Center -

' 450 Lake Road.

Oswego, New York 13126 Gentlemen:

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SUBJECT:

REVISED NRC FORMS 398 and 396

Enclosed is a copy of _the revised forms
NRC Form-398, Personal Qualifications Statement J Licensee. (Enclosure 1), and NRC Form-396, Certification of Medical Examination by Facility Licensee (Enclosure 2). Due to error on the instructions for Form 398, addendum instructions for completing the form are pro'vided as Enclosure 3 to this letter. You should use these forms immediately for any new applications'or license renewals.that you are sending to the NRC. provides a summary of the detailed changes for these forms. On Form 398,

. you sh'ould note that applicants are now required to provide evidence on the significant control manipulations performed as trainees at the facility for which the license is being

. sought. On this matter, you should refer to NRC Information Notice No. 97-67, dated

August 21,1997.

! On Form 396ithe applicable guidance used in making the medical determinations needs to E

be indicated. 'Also,' be advised that the NRC staff has recently approved Revision 3 of Regulatory Guide 1.134, " Medical Evaluation of Licensed Personnel at Nuclear Power Plants," which endorses ANSI /ANS-3.4-1996," Medical Certification and Monitoring of Personnel Requiring Operator Licenses for Nuclear Power Plants." A notice in the Federal

' Register will be out shortly.

. Further, you should keep 'a copy of Enclosure 3 with the Form 398 until new forms are printed and distributed..Your office can obtain additional copies of both forms by

.contseting Beverly Martin by telephone on 301. 415-5877or by writing to her, U.S.

Nuclear Regulatory Commission, Office of the Chief Information Officer, Mail Stop T-6-F-

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33i Washington, D.C. -20555 0001,or e-mail BAM1@NRC. gov.

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Mr. Robert W. Tessier If you have any questions regarding these forms, please contact Virgil Curley at 610-337-5379 or by e-mail VNC@NRC. gov. -

Sincerely,

@ lNnl s1 e Richard J. Conte, Chief Operator Licensing and Human Performance Branch Division of Reactor Safety Docket Nos. 50-220 and 50 410 : NRC Form-398 - Personal Qualifications Statement - Licensee : NRC Form-396 - Certification of Medical Examination by Facility Licensee

' Enclosure 3: Addendum Instructions for NRC Form-398

' Enclosure 4: Description of Changes to NRC Forms-398 and 396 bec w/ enclosures:

J. H. Mueller, Senior Vice President PUBLIC D-bec w/ enclosures:

OL Facility File DOCUMENT NAME: A:\\ forms.nm T3 receive a copy of this document, Indicate In the box:

  • C" = Copy without attachment / enclosure "E" = Copy with attachment /erclosure "N" = No

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DATE 04/01,/98 04/ f /98 04/

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/98 0FFICIAL RECORD COPY u..

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ENCLOSURE 3 ADDENDUM INSTRUCTION TO NRC FORM 398

- Applies to the Instructions for item 4.g, on the " Type of Application":

g.

DATE PASSED GENERIC FUNDAMENTALS EXAM SECTION (GFES)

The last sentence of 4.g s'tates: "This does not include instructor certification examinations or requalification examinations".

This statement is in error and is not in accordance with Interim Rev. 8, ES-205, section 8, third paragraph, which states as follows:

" Applicants do not need to take the GFE (nor obtain a waiver) if they were previously issued an RO or SRO license or an instructor certification

[ underline added] based on a site specific written examination (on the same type of facility) that was administered between February 1982 and November 1989 and included 'the material covered by the GFE.. Applicants 1

who were issued a license before 1982, will have to take the examination or j

apply for a waiver in accordance with ES-204.

1' The last sentence of 4.g should read, "This does not include reaualification examinations."

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a ENCLOSURE 4 CHANGES TO NRC FORMS 398 AND 396 NRC Form item Description of Changes Number

Number

.398 4.g

- See Enclosure 3 398:

13 Instruction Sheet: All new applications must provide evidence in accordance with 10 CFR 55.31(b) that the applicant, as a-trainee, has successfully manipulated the controls of the facility for which a license is sought. This section was changed to read as follows:

"At a minimum, five significant control manipulations must be performed which affect reactivity.or power level under item 13.3c. list the five sianificant control manioulations in item

  1. 17."

.398 18 Instruction Sheet - changed to read: "NRC Form-396, Certification of Medical Examination by Facility licensee must accompany this application unless a waiver of the medical examination is beina reauested.

398 NA Form: The OMB expiration date is now 10/31/2000.

In the OMB block the following was added: "If an information collection does not disolav a currentiv valid OMB control number, the NRC may not conduct or soonsor, and a person is not reouired to resoond to the information collection".

-398' NA Form and Instructions: Top and Bottom left-hand side have date changes to 10-1997.

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NRC Form item Description of Changes Number Number 396 Item A -'

Medical Exam Information - statement regarding safeguards and fitness for duty requirements has been moved from item B to be included with the statement under A - Medical Exam Information as noted below:

"This is to certify that the above named applicant for an operator / senior operator license has been examined by a physician and that the aoolicant has been found to meet the safeouards and fitness for duty reouirements for licensed ooerators at this facility."

item A Below the physician name,...... line, the word " physical" has~

been added:

" Based on the results of the obvsical examination, including...."

in this same paragraph it states as follows: "I certify that in reaching this determination,'the guidance contained in ANSI /ANS 3.4-1996. or ANSI /ANS 3.4-1983 was used.

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i item B NONMEDICAL CERTIFICATION (old form) has been changed to: B - CERTIFICATION (new form) 396 NA Top and Bottom left-hand side of the form have date changes to 3-1998 396 NA Top right corner - OMB expiration date changed to :

12/31/1999

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