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{{#Wiki_filter:5. MATERIAL TYPE (Submit separate report for each type)
{{#Wiki_filter:DOE/NRC FORM 742                            U.S. DEPARTMENT OF ENERGY                 APPROVED BY OMB: NO. 3150-0004                                      EXPIRES: 04/30/2021 (04-2018)                                              AND                           Estimated burden per response to comply with this mandatory collection request: 2 hours for MANDATORY DATA COLLECTION                            U.S. NUCLEAR REGULATORY COMMISSION small licensees and 5 hours for large licensees. Reported lessons learned are incorporated AUTHORIZED BY                                                                        into the licensing process and fed back to industry. Send comments regarding burden 10 CFR 30, 40, 50, 70, 72,                                                            estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory 74, 75, 150, Public Laws                                                              Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, 83-703, 93-438, 95-91                                                                and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, MATERIAL BALANCE REPORT                             (3150-0004), Office of 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.
U.S. DEPARTMENT OF ENERGY AND U.S. NUCLEAR REGULATORY COMMISSION
: 1. NAME AND ADDRESS                                                          2. LICENSE NUMBER(S)                           3. REPORTING IDENTIFICATION SYMBOL (RIS)
: 1. NAME AND ADDRESS MATERIAL ACCOUNTABILITY NRC FORM 742  (04-2018)
: 4. REPORT PERIOD (MM/DD/YYYY)                  5. MATERIAL TYPE (Submit separate report for each type)
: 4. REPORT PERIOD (MM/DD/YYYY)
FROM                   TO SECTION A                                             MATERIAL ACCOUNTABILITY PC      SEQ                                                                                      A. ELEMENT WEIGHT                    B. ISOTOPE WEIGHT
APPROVED BY OMB:  NO. 3150-0004 DOE/NRC FORM 742
: 8. BEGINNING INVENTORY -- U.S. GOVT-OWNED
: 2. LICENSE NUMBER(S)
: 9. BEGINNING INVENTORY -- NOT U.S. GOVT-OWNED RECEIPTS
: 3. REPORTING IDENTIFICATION SYMBOL (RIS)
: 11. PROCUREMENT FROM DOE RIS FROM:
FROM TO SECTION A 8. BEGINNING INVENTORY -- U.S. GOVT-OWNED
: 13. PROCUREMENT -- FOR THE ACCOUNT OF DOE
: 9. BEGINNING INVENTORY -- NOT U.S. GOVT-OWNED
: 11. PROCUREMENT FROM DOE RIS FROM: 13. PROCUREMENT -- FOR THE ACCOUNT OF DOE
: 14. DOD RETURNS -- USE A
: 14. DOD RETURNS -- USE A
: 15. DOD RETURNS -- USE B
: 15. DOD RETURNS -- USE B
: 16. DOD RETURNS -- OTHER USES
: 16. DOD RETURNS -- OTHER USES
: 21. PRODUCTION
: 21. PRODUCTION
: a. ICT
: 22. FROM OTHER MATERIALS          a. ICT
: b. ICT
: b. ICT
: c. ICT 30. RECEIPTS REPORTED TO DOE/NRC ON DOE/NRC 741 (not listed elsewhere)
: c. ICT
FROM: 34. RECEIPTS -- MISC
: 30. RECEIPTS REPORTED TO DOE/NRC ON DOE/NRC 741 (not listed elsewhere)
FROM:                        RIS
: 34. RECEIPTS -- MISC
: 37. PROCUREMENT BY OTHERS
: 37. PROCUREMENT BY OTHERS
: 38. DONATED MATERIAL -- FROM U.S. GOVT TO OTHERS
: 38. DONATED MATERIAL -- FROM U.S. GOVT TO OTHERS
: 39. DONATED MATERIAL -- FROM OTHERS TO U.S. GOVT
: 39. DONATED MATERIAL -- FROM OTHERS TO U.S. GOVT
: 40. TOTAL (Lines 8-39)
: 40. TOTAL (Lines 8-39)
: 41. EXPENDED IN SPACE PROGRAMS RIS TO: RIS TO: 44. DOD -- USE A
REMOVALS
: 45. DOD -- USE B
: 41. EXPENDED IN SPACE PROGRAMS
: 46. DOD -- OTHER USES
: 42. SALES TO U.S. GOVT RIS TO:                  RIS TO:
: 43. SALES TO OTHERS FOR THE ACCOUNT OF U.S. GOVT RIS TO:
: 44. DOD -- USE A
: 45. DOD -- USE B
: 46. DOD -- OTHER USES
: 47. EXPENDED IN U.S. GOVT TESTS
: 47. EXPENDED IN U.S. GOVT TESTS
: 48. ROUTINE TESTS
: 48. ROUTINE TESTS
: 49. SHIPPER -- RECEIVER DIFFERENCE
: 49. SHIPPER -- RECEIVER DIFFERENCE
: 51. SHIPMENTS REPORTED TO NRC/DOE ON NRC/DOE 741 (not listed elsewhere)
: 51. SHIPMENTS REPORTED TO NRC/DOE ON NRC/DOE 741 (not listed elsewhere)
TO: RIS EXPIRES:  04/30/2021 RIS 22. FROM OTHER MATERIALS
TO:                                       RIS NRC FORM 742 (04-2018)                                                                                                                                                    Page 1
: 42. SALES TO U.S. GOVT RIS TO:
 
: 43. SALES TO OTHERS FOR THE ACCOUNT OF U.S. GOVT (04-2018)10 CFR 30, 40, 50, 70, 72, 74, 75, 150, Public Laws 83-703, 93-438, 95-91 PC SEQ MATERIAL BALANCE REPORT A. ELEMENT WEIGHT B. ISOTOPE WEIGHT RECEIPTS REMOVALS Estimated burden per response to comply with this mandatory collection request: 2 hours for small licensees and 5 hours for large licensees.
DOE/NRC FORM 742                                                                                    U.S. DEPARTMENT OF ENERGY (04-2018)                                                                                                     AND 10 CFR 30, 40, 50, 70, 72, 74, 75, 150, Public Laws                                                                     U.S. NUCLEAR REGULATORY COMMISSION 83-703, 93-438, 95-91 MATERIAL BALANCE REPORT (Continued)
Reported lessons learned are incorporated into the licensing process and fed back to industry.
SECTION A (Continued)                                          MATERIAL ACCOUNTABILITY PC      SEQ                                                                          A. ELEMENT WEIGHT B. ISOTOPE WEIGHT
Send comments regarding burden estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0004), Office of 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.
: 54. SHIPMENTS -- MISC
Page 1 MANDATORY DATA COLLECTION AUTHORIZED BY DATE SIGNATURE (See instructions for provisions on confidentially)
TITLE 54. SHIPMENTS -- MISC
: 65. ROUNDING ADJUSTMENT
: 58. DONATED MATERIAL -- TO U.S. GOVT BY OTHERS
: 58. DONATED MATERIAL -- TO U.S. GOVT BY OTHERS
: 59. DONATED MATERIAL -- TO OTHERS BY U.S. GOVT
: 59. DONATED MATERIAL -- TO OTHERS BY U.S. GOVT
: a. ICT
: 65. ROUNDING ADJUSTMENT
: b. ICT 72. DECAY
: 71. DEGRADATION TO OTHER MATERIALS              a. ICT
: 75. ACCIDENTAL LOSSES
: b. ICT
: 72. DECAY
: 73. FISSION AND TRANSMUTATION
: 73. FISSION AND TRANSMUTATION
: 74. NORMAL OPERATIONAL LOSSES/MEASURED DISCARDS
: 74. NORMAL OPERATIONAL LOSSES/MEASURED DISCARDS
: 75. ACCIDENTAL LOSSES
: 76. APPROVED WRITE-OFFS
: 77. INVENTORY DIFFERENCE
: 77. INVENTORY DIFFERENCE
: 80. ENDING INVENTORY -- U.S. GOVT OWNED
: 81. ENDING INVENTORY -- NOT U.S. GOVT OWNED
: 82. TOTAL (Lines 41-81)
: 82. TOTAL (Lines 41-81)
: 80. ENDING INVENTORY -- U.S. GOVT OWNED
: 83. BIAS ADJUSTMENT SECTION B                                                          FOREIGN OBLIGATIONS PC      SEQ                              1. COUNTRY OF OBLIGATION                  2. ELEMENT WEIGHT 3.     ISOTOPE WEIGHT
: 81. ENDING INVENTORY -- NOT U.S. GOVT OWNED MATERIAL ACCOUNTABILITY SECTION A  (Continued)
: 4. TOTAL WEIGHT SECTION C                                                            CERTIFICATION To the best of my knowledge and belief, the information given above and in any attached schedules is true, complete, and correct.
FOREIGN OBLIGATIONS SECTION B CERTIFICATION SECTION C To the best of my knowledge and belief, the information given above and in any attached schedules is true, complete, and correct.
SIGNATURE (See instructions for provisions on confidentially) TITLE                                            DATE 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.
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  
NRC FORM 742 (04-2018)                                                                                                             Page 2}}
 
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.
: 83. BIAS ADJUSTMENT
: 71. DEGRADATION TO OTHER MATERIALS
: 76. APPROVED WRITE-OFFS PC SEQ PC SEQ A. ELEMENT WEIGHT B. ISOTOPE WEIGHT
: 2. ELEMENT WEIGHT
: 3. ISOTOPE WEIGHT
: 1. COUNTRY OF OBLIGATION
: 4. TOTAL WEIGHT U.S. DEPARTMENT OF ENERGY AND U.S. NUCLEAR REGULATORY COMMISSION DOE/NRC FORM 742 (04-2018)10 CFR 30, 40, 50, 70, 72, 74, 75, 150, Public Laws 83-703, 93-438, 95-91 MATERIAL BALANCE REPORT (Continued)
Page 2 NRC FORM 742  (04-2018)}}

Latest revision as of 20:19, 4 November 2019

NRC Form 742 - Material Balance Report
ML13083A297
Person / Time
Issue date: 04/30/2018
From:
NRC/OCIO/GEMSD/IMSB
To:
References
Download: ML13083A297 (2)
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Text

DOE/NRC FORM 742 U.S. DEPARTMENT OF ENERGY APPROVED BY OMB: NO. 3150-0004 EXPIRES: 04/30/2021 (04-2018) AND Estimated burden per response to comply with this mandatory collection request: 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> for MANDATORY DATA COLLECTION U.S. NUCLEAR REGULATORY COMMISSION small licensees and 5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> for large licensees. Reported lessons learned are incorporated AUTHORIZED BY into the licensing process and fed back to industry. Send comments regarding burden 10 CFR 30, 40, 50, 70, 72, estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory 74, 75, 150, Public Laws Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov,83-703, 93-438, 95-91 and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, MATERIAL BALANCE REPORT (3150-0004), Office of 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.

1. NAME AND ADDRESS 2. LICENSE NUMBER(S) 3. REPORTING IDENTIFICATION SYMBOL (RIS)
4. REPORT PERIOD (MM/DD/YYYY) 5. MATERIAL TYPE (Submit separate report for each type)

FROM TO SECTION A MATERIAL ACCOUNTABILITY PC SEQ A. ELEMENT WEIGHT B. ISOTOPE WEIGHT

8. BEGINNING INVENTORY -- U.S. GOVT-OWNED
9. BEGINNING INVENTORY -- NOT U.S. GOVT-OWNED RECEIPTS
11. PROCUREMENT FROM DOE RIS FROM:
13. PROCUREMENT -- FOR THE ACCOUNT OF DOE
14. DOD RETURNS -- USE A
15. DOD RETURNS -- USE B
16. DOD RETURNS -- OTHER USES
21. PRODUCTION
22. FROM OTHER MATERIALS a. ICT
b. ICT
c. ICT
30. RECEIPTS REPORTED TO DOE/NRC ON DOE/NRC 741 (not listed elsewhere)

FROM: RIS

34. RECEIPTS -- MISC
37. PROCUREMENT BY OTHERS
38. DONATED MATERIAL -- FROM U.S. GOVT TO OTHERS
39. DONATED MATERIAL -- FROM OTHERS TO U.S. GOVT
40. TOTAL (Lines 8-39)

REMOVALS

41. EXPENDED IN SPACE PROGRAMS
42. SALES TO U.S. GOVT RIS TO: RIS TO:
43. SALES TO OTHERS FOR THE ACCOUNT OF U.S. GOVT RIS TO:
44. DOD -- USE A
45. DOD -- USE B
46. DOD -- OTHER USES
47. EXPENDED IN U.S. GOVT TESTS
48. ROUTINE TESTS
49. SHIPPER -- RECEIVER DIFFERENCE
51. SHIPMENTS REPORTED TO NRC/DOE ON NRC/DOE 741 (not listed elsewhere)

TO: RIS NRC FORM 742 (04-2018) Page 1

DOE/NRC FORM 742 U.S. DEPARTMENT OF ENERGY (04-2018) AND 10 CFR 30, 40, 50, 70, 72, 74, 75, 150, Public Laws U.S. NUCLEAR REGULATORY COMMISSION 83-703,93-438, 95-91 MATERIAL BALANCE REPORT (Continued)

SECTION A (Continued) MATERIAL ACCOUNTABILITY PC SEQ A. ELEMENT WEIGHT B. ISOTOPE WEIGHT

54. SHIPMENTS -- MISC
58. DONATED MATERIAL -- TO U.S. GOVT BY OTHERS
59. DONATED MATERIAL -- TO OTHERS BY U.S. GOVT
65. ROUNDING ADJUSTMENT
71. DEGRADATION TO OTHER MATERIALS a. ICT
b. ICT
72. DECAY
73. FISSION AND TRANSMUTATION
74. NORMAL OPERATIONAL LOSSES/MEASURED DISCARDS
75. ACCIDENTAL LOSSES
76. APPROVED WRITE-OFFS
77. INVENTORY DIFFERENCE
80. ENDING INVENTORY -- U.S. GOVT OWNED
81. ENDING INVENTORY -- NOT U.S. GOVT OWNED
82. TOTAL (Lines 41-81)
83. BIAS ADJUSTMENT SECTION B FOREIGN OBLIGATIONS PC SEQ 1. COUNTRY OF OBLIGATION 2. ELEMENT WEIGHT 3. ISOTOPE WEIGHT
4. TOTAL WEIGHT SECTION C CERTIFICATION To the best of my knowledge and belief, the information given above and in any attached schedules is true, complete, and correct.

SIGNATURE (See instructions for provisions on confidentially) TITLE DATE 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.

NRC FORM 742 (04-2018) Page 2

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