ML25167A157

OMB 3150-0165, Draft 2025, NRC Form 542A NRC Forms 542 and 542A, Uniform Low-Level Radioactive Waste Manifest Index and Regional Compact Tabulation and Continuation Page

ML25167A157
Person / Time
Issue date:	12/02/2025
From:	Office of Nuclear Material Safety and Safeguards, NRC/OCIO, NRC/OGC
To:
References
DUWP-25-0006, OMB 3150-0165
Download: ML25167A157 (0)

Text

APPROVED BY OMB: NO. 3150-0165 Estimated burden per response to comply with this information collection request: 45 minutes. 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, (3150-0165), 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 542A U.S. NUCLEAR REGULATORY COMMISSION 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/

2. Manifest Number

3. Page of Page(s)

4.

Generator Identification Number

5.

Generator Name Permit Number (If Applicable) and Telephone Number

6.

Generator Facility Address

7.

Preprocessed Waste (or material)

Volume (m )

3

8.

Manifest Number(s) Under Which Waste (or material)

Received and Date of Receipt

9.

Waste Code P = Processed C = Collected

11. As processed/collected total A. Source Material (kg)

B. SNM (g)

C. Activity (MBq)

D. Volume (m )

3 NRC FORM 542A (MM-DD-YYYY)

10.

Originating Compact Region or State (and Permit Number if applicable)

(MM-DD-YYYY)