ML25164A041

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OMB 3150-0166, Final 2025 NRC Form 541A, NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description and Continuation Page
ML25164A041
Person / Time
Issue date: 12/02/2025
From:
Office of Nuclear Material Safety and Safeguards, NRC/OCIO, NRC/OGC
To:
References
DUWP-25-0007, OMB 3150-0166
Download: ML25164A041 (0)


Text

APPROVED BY OMB: NO. 3150-0166 Estimated burden per response to comply with this information collection request: 3.3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. This uniform manifest is required by NRC to meet reporting requirements of Federal and State Agencies for the safe transportation and disposal of low-level waste. 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 email to Infocollects.Resource@nrc.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0166), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503. 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 541A U.S. NUCLEAR REGULATORY COMMISSION UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST CONTAINER AND WASTE DESCRIPTION (Continuation)

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

2. Manifest Number (Use this number on all continuation pages)

NRC FORM 541A (MM-DD-YYYY)

(MM-DD-YYYY)

Page(s)

Page Of 3.

Disposal Container Description Waste Description for Each Waste Type in Container

5. Container Identification Number/Generator ID Number(s)
6. Container Description (See Note 1)
7. Volume (m )

3

8. Waste and Container Weight (kg)
9. Waste Weight (kg)
10. Surface Radiation Level

(µSv/hr)

(mSv/hr)

11. Surface Contamination MBq/100 cm 2 Alpha Beta-Gamma Physical Description
15. Chemical Description
16. Radiological Description
17. Waste Class AS-Class A Stable AU-Class A Unstable B-Class B C-Class C
14. Sorbent Solidification, Stabilization, Media (See Note 3)
13. Approximate Waste Volume(s) in Container
12. Waste Descriptor (See Note 2)

Individual Radionuclides and Activity (MBq) and Container Total; or Container Total Activity and Radionuclide Percent Weight

% Chelating Agent if > 0.1%

Chemical Form/

Chelating Agent