ML18269A141: Difference between revisions
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{{#Wiki_filter:}} | {{#Wiki_filter:NRC FORM 830A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0036 EXPIRES: (MM/DD/YYYY) | ||
(MM-YYYY) 10 CFR 110.50(c)(3)(ii) Estimated burden per response to comply with this mandatory collection request: 30 minutes. | |||
This form allows the NRC to request additional information from licensees to determine whether a license should be revoked, suspended, or modified. Send comments regarding burden estimate to the Information Services Branch, (O-1 F21), U.S. Nuclear Regulatory Commission, REPORT OF IMPORT Washington, DC 20555-001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, 3150-0036, Office of CONTINUATION SHEET Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection. | |||
ADVANCED NOTIFICATION OF SEND COMPLETED FORM TO: | |||
SHIPMENT OF CATEGORY 1 AND/OR 2 RADIOACTIVE SOURCES U.S. Nuclear Regulatory Commission In accordance with 10 CFR Part 110.50(c)(3)(ii) ATTN: Headquarters Operation Center of the U.S. NRC Regulations Email: hoo.hoc@nrc.gov (Preferred Reporting Method) | |||
Fax: (301) 816-5151 (Alternative Reporting Method) | |||
Reference Number: | |||
Name of individual and licensee making the notification; address and telephone number: | |||
SOURCE ACTIVITY (TBq) MAKE MODEL SERIAL NUMBER 1 | |||
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10 11 12 13 14 15 16 17 18 19 20 NRC Form 830A (MM-YYYY) | |||
PAGE NUMBER: OF}} | |||
Latest revision as of 14:10, 20 October 2019
| ML18269A141 | |
| Person / Time | |
|---|---|
| Issue date: | 12/28/2018 |
| From: | NRC/OCIO, NRC/OIP |
| To: | |
| Baker S - 287 9059 | |
| References | |
| Download: ML18269A141 (1) | |
Text
NRC FORM 830A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0036 EXPIRES: (MM/DD/YYYY)
(MM-YYYY) 10 CFR 110.50(c)(3)(ii) Estimated burden per response to comply with this mandatory collection request: 30 minutes.
This form allows the NRC to request additional information from licensees to determine whether a license should be revoked, suspended, or modified. Send comments regarding burden estimate to the Information Services Branch, (O-1 F21), U.S. Nuclear Regulatory Commission, REPORT OF IMPORT Washington, DC 20555-001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, 3150-0036, Office of CONTINUATION SHEET Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
ADVANCED NOTIFICATION OF SEND COMPLETED FORM TO:
SHIPMENT OF CATEGORY 1 AND/OR 2 RADIOACTIVE SOURCES U.S. Nuclear Regulatory Commission In accordance with 10 CFR Part 110.50(c)(3)(ii) ATTN: Headquarters Operation Center of the U.S. NRC Regulations Email: hoo.hoc@nrc.gov (Preferred Reporting Method)
Fax: (301) 816-5151 (Alternative Reporting Method)
Reference Number:
Name of individual and licensee making the notification; address and telephone number:
SOURCE ACTIVITY (TBq) MAKE MODEL SERIAL NUMBER 1
2 3
4 5
6 7
8 9
10 11 12 13 14 15 16 17 18 19 20 NRC Form 830A (MM-YYYY)
PAGE NUMBER: OF