ML23139A261
| ML23139A261 | |
| Person / Time | |
|---|---|
| Issue date: | 07/21/2023 |
| From: | NRC/NMSS/DFM/MCAB |
| To: | |
| References | |
| Download: ML23139A261 (1) | |
Text
DOE/NRC FORM 741 U. S. DEPARTMENT OF ENERGY APPROVED BY OMB: NO. 3150-0003 EXPIRES: (MM/DD/YYYY)
(MM-DD-YYYY) AND Estimated burden per response to comply with this mandatory collection request: 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> and 15 minutes. This information is required for IAEA 10 CFR 30, 40, 50, 70, U. S. NUCLEAR REGULATORY COMMISSION accounting reports that show changes in inventory of nuclear materials. Send comments regarding burden estimate to the FOIA, Library, and 72, 74, 75, 150 Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by email to Infocollects.
Public Laws83-703, 93-438, 95-91 Resource@nrc.gov,and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0003), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; email: oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, NUCLEAR MATERIAL TRANSACTION REPORT 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.
- 1. SHIPPER'S RIS 2. RECEIVER'S RIS 3. TRANSACTION NO. 4. CORRECTION NO. 5. PROCESSING CODE 6. ACTION CODE 7. DOCUMENTATION (Only if document is classified SECRET)
- a. SHIPPER b. RECEIVER a. SHIPPER b. RECEIVER PAGE OF PAGES COPY OF COPIES SERIES 8.a. NAME AND ADDRESS b. LICENSE 9.a. NAME AND ADDRESS b. LICENSE OF SHIPPER NO. NO. 10. NO OF DATA LINES 11. NATURE OF TRANSACTION NO. DISTRIBUTION OF COPIES OF RECEIVER 12.a. SHIPPED FOR ACCOUNT OF 13.a. SHIPPED TO ACCOUNT OF
3 4
- c. ATTENTION: c. ATTENTION:
5
- d. TELEPHONE: d. TELEPHONE:
6
- 14. TRANSFER AUTHORITY - CONTRACT, NM DRAFT, OR ORDER NUMBER 15. EXPORT OR IMPORT TRANSFERS: LICENSE NO.
7
- 16. MATERIAL TYPE AND DESCRIPTION 17. 18. 19. 20. 21. 8 LINE COUNTRY OF MATERIAL OBLIGATED OBLIGATED ISOTOPE NUMBER OBLIGATION TYPE ELEMENT WEIGHT WEIGHT For Enriched Uranium Only 9 MONTH DAY YEAR
- 22. ACTION DATE (MM) (DD) (YYYY)
- a. SHIPMENT 23a. MISCELLANEOUS b. SHIPPER'S CORRECTION
- b. CONCISE NOTE ATTACHED
- c. RECEIPT
- c. UK REPORTABLE? YES NO
- d. RECEIVER'S MEASUREMENT
- e. RECEIVER'S CORRECTION
- 24. TOTAL GROSS WEIGHT 25. TOTAL VOLUME (Waste Transfers Only)
BACK LINE TYPE IDENTIFICATION NO. OF PROJECT MATE- COMP/ OWNER KEY MEAS. IDENT. GROSS WEIGHT NET WEIGHT ELEMENT ELEMENT WEIGHT % ISOTOPE ISOTOPE REFERENCE NO. OF INV. (ITEM/BATCH NAME) ITEMS NUMBER RIAL FACILITY CODE MEAS. k. WEIGHT LIMIT OF ISOTOPE WEIGHT LIMIT OF NUMBER CHANGE TYPE CODE POINT ERROR ERROR 1 2 3
- a. b. c. d. e. f. g. h. i. j. BASIS OMP METHOD l. m. n. o. p. q. r.
- 26. SHIPPER'S DATA 26s. SHIPPER'S DATA SIGNATURE OF AUTHORIZED OFFICIAL AND DATE SIGNED SIGNATURE OF AUTHORIZED OFFICIAL AND DATE SIGNED 27s. RECEIVER'S DATA
- 27. RECEIVER'S DATA WARNING: FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS. 18 U.S.C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.
DOE/NRC FORM 741 (MM-DD-YYYY)