ML20236J515
| ML20236J515 | |
| Person / Time | |
|---|---|
| Issue date: | 07/02/1998 |
| From: | Patricia Holahan NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| To: | Griem M AFFILIATION NOT ASSIGNED |
| References | |
| NUDOCS 9807080223 | |
| Download: ML20236J515 (8) | |
Text
_ _ _ _
M lvin L. Griem, M.D.
44 Sunset Trail, Box 453 July 2' 1998 Ogd:n Dunes, IN 46368-8718
Dear Dr. Griem:
This letter is to confirm the telephone agreement of June 12,1998, between you and Dennis Serig of my statf that you will assist the Nuclear Regulatory Commission (NRC)
Division of Industrial and Medical Nuclear Safety as a subject matter expert with respect to radiation therapy systems regulated under Part 35 of Title 10 of the Code of Federal Regulations. An NRC contractor, Scientech, Inc., will contact you concerning a risk assessment that they are performing on systems using nuclear byproduct material. Scientech is expected to ask you about normal conduct of various approaches to radiation therapy (e.g.,
teletherapy, various approaches to brachytherapy). The information you provide will make a major contribution to Scientech's ability to perform a realistic risk assessment.
Please note the information in Enclosure 1 regarding consultant liability and service with other Federal departments or agencies. Please notify Dennis Serig (contact information provided below) if you are currently performing work for other Federal departments or agencies.
Enclosure 2, is a blank voucher for professional services (NRC Form 148) for your use in claiming reimbursement based on the time you spend in responding to Scientech. Enclosure 3 is a blank claim for reimbursement for expenditures on official business (SF 1164) for your use in claiming reimbursement of telephone, facsimile, or related expenses that you incur in responding to Scientech. Please submit claims for reimbursement to:
U.S. Nuclear Regulatory Commission ATTN: Dennis Serig Nlail Stop: T8F5 Washington, D.C., 20555-0001 Claims should be submitted no later than 30 days following your service as a subject matter expert as described above. If you have any questions, they may be directed to Dr. Serig by telephone at (301) 415-7901 or by facsimile at (301) 415-5369.
. Sincerely, (orig. signed by Patricia K. Holahan), Acting Chief Rulemaking and Guidance Branch Division of Industrial and Medical Nuclear Safety i Office of Nuclear Material Safety and Safeguards 60)
Enclosures:
As stated 9\
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- g. . . . . *g. July 2,1998 Melvin t Griem, M.D.
-_44 Sunset Trail, Box 453 Ogden Dunes, IN 46368-8718
Dear Dr. Griem:
This letter is to confirm the telephone agreement of June 12,1998, between you and Dennis _Serig of my staff that you will assist the Nuclear Regulatory Commission (NRC)
Division of Industrial and Medical Nuclear Safety as a subject matter expert with respect to
- radiation therapy systems regulated under Part 35 of Title 10 of the Code of Federal - '
Regulations. An NRC contractor, Scientech, Inc., will contact you concerning a risk assessment that they are performing on systems using nuclear byproduct material. Scientech is expected to ask you about normal conduct of various approaches to radiation therapy (e.g..
teletherapy, various approaches to brachytherapy). The information you provide will make a major contribution to Scientech's ability to perform a realistic risk assessment.
Please note the information in Enclosure 1 regarding consultant liability and service with other Federal departments or agencies.- Please notify Dennis Serig (contact information provided below) if you are currently performing work for other Federal departments or agencies. 1
- Enclosure 2, is a blank voucher for professional services (NRC Form 148) for your use in claiming reimbursement based on the time you spend in responding to Scientech. Enclosure 3 is a blank claim for reimbursement for expenditures on official business (SF 1164) for your use in claiming reimbursement of telephone, facsimile, or related expenses that you incur in responding to Scientech. Please submit claims for reimbursement to:
U.S. Nuclear Regulatory Commission ATTN: Dennis Serig MailStop: T8F5 Washington, D.C.,20555-0001 Claims should be submitted no later than 30 days following your service as a subject matter '
l expert as described above if you have any questions, they may be directed to Dr. Serig by i telephone at (301) 415-7901 or by facsimile at (301) 415-5369. '
Sincere ,
l.
g Patricia K. Holahan, Acting Chief l Rulemaking and Guidance Branch Division of Industrial and L Medical Nuclear Safety Office of Nuclear Material Safety ,
and Safeguards '
Enclosures:
As stated -
)
O Enclosure 1 RESTRICTIONS ON SERVICE WITH OTHER FEDERAL DEPARTMENTS OR AGENCIES U.S. Nuclear Regulatory Commission policies and procedures for obtaining the services of consultants are defined in a Commission Directive '. The following information is contained in the Directive and has direct implications for the physician and scientific consultant.
Service with Other Aaencies An employee who serves two or more Federal Departments or agencies is required to inform each of his or her arrangement (s) with the other. If the individual's appointments are made on the same date, the aggregate of the estimates of the days of services will determine the decision, by each gency, as to whether the individual is " Regular" or "Special." If, after being employed by one department or agency, a Special Govemment Employee is appointed by another agency, the second agency must make an estimate of the individual's days of service for the remaining portion of the 365-day period which was initiated by the first appointment. The sum of the estimate and of the actu.al number of days of service to other departments or agencies, during the prior portion of such 365-day period, will determine whether the individual is " Regular" or "Special."
Close coordination between the agencies and the appointee must be maintained to insure that the 130-day limitation is not inadvertently exceeded.
j I
' information taken from U.S. Nuclear Regulatory Commission, Management Directive Chapter 413g, Utilization of Consultants, members, and Other Advisory and Assistance Services, Part I, Appendix D, Paragraph 4.
I page 1 of 1 l
i
Enclosure 2
, NRC FORM 148 U.S. NUCLEAR RE;ULATORY COMMISSION UNIT (oC use only) an NRCMD 10.6 VOUCHER FOR PROFESSIONAL SERVICES INSTRUCTIONS This form shall be completed by all NRC consultants for claiming compensation for official authorized personnel services.
A signed original and two copies shall be submitted to the NRC otNce authorizing the service.
TO: FROM: NAME OF CLAIMANT U. S. Nuclear Regulatory Commission XtTEMON: NRC OFFICE AUTHORIZING THIS SERVICE TfRECTklMSiETS TrrY ST5tE ZIP CODE ffTY STATE ZIP CODE SOCIAL SEdORfTY NUMBER DESCRIPTION OF CLAIM (AIIblocks must be completed)
NUM8KR DATE CONTRACT: AMOUNT CLAIMED FROM To PERIOD COVERED -
DOLLARS CENTS (Dates)
NUMBERTFDAYS PER DAY %
SERVICES PERFORMED: 0$
NUMBER OF HOURS PER HOUR ,,
(Ifemire on reverse)
O$ ', /
RETIRED ANNUITANT:
no CLAIMED '
CERT lFICATION OFFICE OF THE CONTROLLER USE ONLY I CERTIFY that the above account is accurate and true in til respects; that my statement of services correctly sets forth the services on otNcialbusiness; that the payment DIFFERENCE therefor has not been received; and that no compensation for any of the time shown above is payable imm or will be AuOuNr claimed from any other source of the Federal Govemment VERIFIED CORRECT orits cost-reimbursable contractors.
BiDNATURE-CLAIMANT DATE SIGNATURE DATE APPROVAL METHOD OF PAYMENT (Claimant- Check one block)
I CERTIFY that the above claim is accurate; that the The Govemment Manaoement Reform Act of 1994 requires Cbove services were otNclally requested and gncies ' to use Direct 'Deposit via
- Electronic' Funds Transferas performed; end that the expenses claimed are paymen s Cuthorized.
DIRECT DEPOSIT FORM SF 1199A ATTACHED BiDNATURE. APPRDVtNG OFFICER DATE DIRECT DEPOS!T FORM PREVIOUSLY SU8MITTED TREASURY CHECK (For one-time payments only)
NRC FORM 140 (2-06) PRJNTED ON RECYCLED PAPER TNs form was cosgned using nnForms 1
, SERVICES PERF@RMED RATE OF COMPENSATION PLACE (S) WORK PEJORGED l MR DAY ~T460iit PElit !
l 5 i TIME SERVICES PERFORMED (INDICATE a.m. OR p.m.)
DATE FROM a.m. p.m. TO a.m. p.m. TOTAL HOURS e
J 4
d, uo PRIVACY ACT STATEIAENT Pursuant to 5 U.S.C. 562a(e)(3), enacted into low by eachon 3 of the Priveoy Act of 1974 (Public Law 93-573), the following statement is fumiehed to individuals who supply information to the Nuclear Reguistory Commlesion on NRC Form 148. This information is maintained in a system of recoids ,
designated as NRC-21 and described at 58 Federal Magisser 36469 (July 7,1993); or the most recent Federal Regiefer pubhcohon of the Nucieer i Meguistory Commission's "Patu% of Systems of Recostle Notices" tlget is avanebie at the NRC Public Document Room, Gelman Suilding, 2120 L Stmet NW, Lower Level, Washington, D.C.
l
- 1. AUTHORITY: 31 U.S.C. 716,1114, 3325, 3511 1988); information fmm this form may also be discioned, in the cocme of I Executive Order 9397, dated November 22,1943. discovery under a protective ortler issued by a court of competent j jurisdiction, and in pmeenling evidence to a CwL :,e;olhosto i
- 2. PRINCIPAL PURPOSE (S): Information entemd on this form is respond to their inquiry made at your request, or to NRC-paid )
used to secum payment for authonsed claims fw compensehon W experts, consultants, and others under contract with the NRC, on a sonnons sondered by govemment consultants, basis.
- 3. ftOUTINE USES: Informehon on this form is used for tronomittel 4. WHETHER DISCLOSURE IS BRANDATORY OR VOLUNTARY AND to the U.S Tmesury for payment. It may also be disclosed to the EPFECT ON INOMDUAL OF NOT PROVIDING INFORIAATION: it .l IRS, State and local taxing authorities, Soclel Security is voluntary that you furnish the requested information. If the
. Administration, labor unions, insurance carriers, OPM, or information is not fumished, you may be denied en identercation charitelde inehtutions conooming any authorised withholdings or tNsdge and access to NRC contdied areas.
. deductions. Information may be disclosed to an appropriate Federal, State, local, or Foreign agency in the event the 5. SYSTERA IIANAGER AND ADDRESS:
informehon Inthcotes a vloietion or potential violation of low and in the couros of an adminiseretvo orjudicialpeceeding in addihon, g g,,g this information may be tunedened to en appropstate Federal. Division W h- ^ and Finem State, facal, and Foreign agency to the extent relevant and N W dChiW Eb ofnow '
U S Nuclear Reguistory Commission necessary for an NRC decision about you or to the extent relevant and necessary for that egency's decision about you. 'DC N 1 i
]
2
Enclosure 3
- 1. DEPARTMENT QR EETA LOM"T eUREAU, DfVl510N OR OFF 4CE 2. VOUCHER NUM ER
?
CLAIM FOR REIMBURSEMENT ""
FOR EXPENDITURES -
ON OFFICIAL BUSINESS '"'""""*"
7 Read the Pnvecy Act Statement on the back of this hwm. 6. PAltibY p NAME (t.sg. erw, amese nod) D. 8006AL SECURITY NO.
4.
s MAIL?NG ADDRESS (indude I/P Code) d OFFICE TELEPHONE NUMBER I
- 8. EK9ENDfiURES (if fare claimed in Col. (g) exceeds Charge kr one person, stKNr M col. (h) the number of addWonalpersons which accompanied the claunant.)
DATE show ammprsees code b col (b); MILEAGE AMOUNT CLAIMED h A Localtraves a ; ::!=**l*s ",J.e".* C #,
(Espish orpomstwee h apsaac oweg)
MILEAGE OR TOLL
,ARE = ==
SONS LANEOUS
!al (b) (c) FROM (d)TO (t) (g) (h) (1)
I i l i I t i 1 1 i l I i 1 l i 1 l i i 1 I i i i 6 i i i t t 1 i i l i 1 i l i i l l l l 1 i i i I l I i l I j
l i I i i I I I i 11additonal space is required contbue on the back. *"a*c?' CA"*** **** **** **
m
. Ano0UNT CLAIMED (Totalof Cois. (f), (g) and (I).)> TOTALS ! l l
- 8. This claim is approved. Long distance ta6e e calls. N shown, are certif6ed as 10. I certNy that this claim is true and conect to the best of my krownedge and behet maary in the interest of the Govemment ( : #mng assience ceas aso aciuded, and that payment or credit has not been recetved ty me.
the approvmg offmsel must heve been euthonted on writsng. by the head of the copertment or egency to so cortey(31 U.S C sace).) PAYutNT OEstRc0 sign OriginalOnly O CHECK O c^sH sign Originalonly oniE etAmANT k SIGN HEREF DATE 11. CASH PAYMENT RECEIPT APPROVING e. PAYEE (Sgnsture) b DATE RECEIVED opriciAt seoN Name e, This ciesm a cerimed conect and pmper vor perment c AMWNT sign Originalonly 3 A DATE 12. PAYMENT MADE BY CHECK NO.
ECODNTWG~CUSSlFICATION coeT som suooET ano coot
- " one ^"*"'
TRAVEL Pumpoet coot w e.aml
,og py,,
TYPE coot
~
2130 LOC Y X0200/XO300 ttoe.250 TNs term was esectronmeny proomed oy Emis Feoorsi Forms. ann Si ANDARD IJORM i164 (Rev. Il-77)
Prescribcd by OSA, FPMR (CFR 41) 1 101 7
l l
- 6. EXPENDITURES . Continued l oAre Show apptymete code h col f): MILEAGE C RATE AMOUNT CLAIMED O A. L.ocal travet
! Otner per ses k W FARE P - uSE (Es*n expenstwos m specwle asteg; Qg MILEAGE OR TOLL SONS LANEOUS V) (b) (c) FROM t@ TO
'*' t!) (g) th) (I) i e i I t l l 1 1 1 1 I i 1 I i 1 4 i i i l i i e i I l l
l i i l i : i l I i di, I i l i I I i l I s l 1 i a j i l i i , ,
i i l
,, l l 6 i I i i e i a e i i i l i i i 4 I i i t i i i 1 j
t i i j i !
I I t t 6 6 i i i l l I t t I i 1 :
l I I 1 l l
j , I i i i l i I i I I i l 1 I t I i I i l i i
l l l l l l 1
l 1 I i 1 1 I I i l i 1 t
i e i i 1 i 1 l
l Total each conorm and enter on the hont, suencent ene > I l 1 1 I I in comphpnce with the Federet Trevel Regulebons Act 1C1J),
of 1974,E.O.11000 Dr July 22,1971. E.O.11012 of March 27,1962. E.O 9307 of November 22,1943, and 26 U S C. 6011the fbilowin0 i purpose of the requested formaban is to detonnene povment or reimbursement to elmible indiv6duale for allowable travel and/or other expenses tnc(b) urred underand 6100. The pnma appropriate ac:,netraeve authonzason and to record and meenam costs of such remeursements to th6 Government The informaten will be used by Federal agency ofhcers and ' eswho I have a need for the mformalem en the performance of ther omcral dukes. The inharmation mov be diesaaart to appropnote Federal, State, local, or ioreign eDoncess, when r vant to
. or
^- -
I cevil, alminsi, or reguistory ar- or I
. or r - ! of the of omcao unntin to a recuremenf Govemment eenncebyYour the Social agency in conneccon Secunty with the Atx:ount Number SSN) hinne (or finng e solecited unoer of antheemployet, authonty ofthe themsuanc code (26 (& C. 8011(b) 0109) and E.O. 93 . November 22,1943, for une as a taxasyer and/or employee identihcaton number; dec60sure m MANDATORY on vouchers damna payment os seembursement which m, or may be, taxable ancome. Discsoeure of your SSid and other roguested mformaton a voluntary m all othat matances; however, tea 6ure a providelhe enformelen (other than SSN) requ6ted to support the clern may result m delay or loss of reimbursement, au s e emme om. isea asa.ses NRC iOXM i164 Dack (Rev. I1 77) 2 o
- i. ,
g M:lvin L. Griem,
, 44 Sunset Trail, Box 453 Ogden Dunes, IN 46368-8718
Dear Dr. Griem:
This letter is to confirm the telephone agreement of June 12,1998, between you and Dennis Serig of my staff that you will assist the Nuclear Regulatory Commission (NRC)
Division'of Industrial and Medical Nuclear Safety as a subject matter expert with respect to radiation therapy systems regulated under Part 35 of Title 10 of the Code of Federal Regulations. An NRC contractor, Scientech, Inc., will contact you concerning a risk assessment that they are performing on systems using nuclear byproduct material. Scientech is expected to ask you about normal conduct of various approaches to radiation therapy (e.g.,
teletherapy, various approaches to brachytherapy). The information you provide will make a major contribution to Scientech's ability to perform a realistic risk assessment /
/
Please note the information in Er. closure 1 regardir.g consultant liability and service with other Federal departments or agencies. Please notify Dennis Serig (contact information provided below) if you are currently performing work for other Federal departments of agencies.
Enclosure 2,' is a blank voucher for professional services (NRC Form / 148) for your use in claiming reimbursement based on the time you spend in responding to Scientech. Enclosure 3 is a blank claim for reimbursement for expenditures on official,b'usiness (SF 1164) for your use in claiming reimbursement of telephone, facsimile, or related expenses that you incur in responding to Scientech. Please submit claims for reimbursement to:
U.S. Nuclear Regulatory Commission /
ATTN: Dennis Serig /
Mail Stop: T8F5 /
Washington, D.C.,20555-0001 /
Claims should be submitted no later than 30 da/ys following your service as a subject matter expert as described above. If you have anyduestions, they may be directed to Dr. Serig by telephone at (301) 415-7901 or by facsimile at (301) 415-5369.
/
Sincerely, .
Patricia K. Holahan, Acting Chief Rulemaking and Guidance Branch Division of Industrial and Medical Nuclear Safety Office of Nuclear Material Safety ;
/ and Safeguards l
Enclosures:
As s ed
/ l DISTRIBUTION
. NRC Cent (al File IMNS r/f NMSS r/f PDR: YES NO DOCUMENT NAME: 080625gri. dis
/
OFC. RGB E RGB~
d e, NAME DSerig/LL PHolahan DATE (p/ .30 /98 / /98 i
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