ML22132A262

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OMB 3150-0165, OMB Copy NRC Form 542A
ML22132A262
Person / Time
Issue date: 07/18/2022
From: Priya Yadav
NRC/NMSS/DDUWP/LLWPB
To:
Yadav P
Shared Package
ML22132A257 List:
References
OMB 3150-0165
Download: ML22132A262 (1)


Text

APPROVED BY OMB: NO. 3150-0165 Estimated burden per response to comply with this information collection request: 45 minutes. This uniform manifest or its equivalent is required by NRC to meet reporting requirements of Federal and State Agencies for the safe transportation and disposal of low-level waste (10 CFR EXPIRES: (MM/DD/YYYY) 20, App G). Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov,and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0165), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC FORM 542A U.S. NUCLEAR REGULATORY COMMISSION 2. Manifest Number (MM-YYYY)

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST MANIFEST INDEX AND REGIONAL COMPACT TABULATION (Continuation)

See NUREG/BR-0204 for detailed instructions for completing this form: http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/ 3. Page of Page(s)

4. 5. 6. 7. 8. 9. 10. 11. As processed/collected total Generator Generator Name Generator Preprocessed Manifest Number(s) Under Waste Code Originating Compact Identification Permit Number (If Applicable) Facility Waste (or material) Which Waste (or material) P = Processed Region or State (and Permit A. Source B. SNM C. Activity D. Volume Number and Telephone Number Address Volume (m 3) Received and Date of Receipt C = Collected Number if applicable) Material (kg) (g) (MBq) (m 3)

NRC FORM 542A (MM-YYYY)