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| {{#Wiki_filter:ADVANCED NOTIFICATION OF SHIPMENT OF CATEGORY 1 AND/OR 2 RADIOACTIVE SOURCES In accordance with 10 CFR Part 110.50(c)(3)(i) of the U.S. NRC Regulations NRC Form 831 (MM-YYYY) | | {{#Wiki_filter:NRC FORM 831 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0036 EXPIRES: (MM/DD/YYYY) |
| SEND COMPLETED FORM TO: | | (MM-YYYY) |
| U.S. Nuclear Regulatory Commission ATTN: Headquarters Operation Center Email: hoo.hoc@nrc.gov (Preferred Reporting Method) | | Estimated burden per response to comply with this mandatory collection request: 30 minutes. This form 10 CFR 110.50(c)(3)(i) 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, (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-001, or by REPORT OF EXPORT e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, 3150-0036, 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. |
| Fax: (301) 816-5151 (Alternative Reporting Method) | | ADVANCED NOTIFICATION OF SEND COMPLETED FORM TO: |
| A Part 110 license number:
| | SHIPMENT OF CATEGORY 1 AND/OR 2 RADIOACTIVE SOURCES U.S. Nuclear Regulatory Commission In accordance with 10 CFR Part 110.50(c)(3)(i) ATTN: Headquarters Operation Center of the U.S. NRC Regulations Email: hoo.hoc@nrc.gov (Preferred Reporting Method) |
| B Name of the individual and licensee making the notification: (address, city, state, zip code and
| | Reference Number: Fax: (301) 816-5151 (Alternative Reporting Method) |
| | | Part 110 license number: |
| telephone number) | | A Expiration date: |
| U. S. exporting facility: | | Name of the individual and licensee making the notification: (address, city, state, zip code and telephone number) |
| (company name, address, city, state, zip | | B U. S. exporting facility: |
| | | (company name, address, city, state, zip code and telephone number) |
| code and telephone number) | | Foreign recipient name, address and end use C |
| C Foreign recipient name, address and end use
| |
| | |
| location(s) if different than recipient's address: | | location(s) if different than recipient's address: |
| D Radionuclide(s) and activity level in TBq, both
| | Radionuclide(s) and activity level in TBq, both D for single and aggregate shipments: |
| | |
| for single and aggregate shipments: | |
| Total Activity Level (TBq): | | Total Activity Level (TBq): |
| E Make, model and serial number, for any
| | Make, model and serial number, for any E |
| | |
| category 1 and 2 sealed sources, if available: | | category 1 and 2 sealed sources, if available: |
| F End-use in the importing country, if known: | | F End-use in the importing country, if known: |
| G Shipment date: (MM/DD/YYYY) | | G Shipment date: (MM/DD/YYYY) |
| H REPORT OF EXPORT NRC FORM 831 (MM-YYYY)10 CFR 110.50(c)(3)(i)
| | This notification should be accompanied by a copy of the foreign recipient's authorization or confirmation H |
| U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0036 EXPIRES: (MM/DD/YYYY)
| | of that authorization from the government of the importing country, as required by 110.32(g). |
| 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.
| | Comments: |
| Send comments regarding burden estimate to the Information Services Branch, (T-6 A10M), U.S. Nuclear Regulatory Commission, 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 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.
| | NRC Form 831 (MM-YYYY)}} |
| This notification should be accompanied by a copy of the foreign recipient's authorization or confirmation of that authorization from the government of the importing country, as required by 110.32(g). | |
| Reference Number:
| |
| Comments: Expiration date:}}
| |
|
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Category:OMB Clearance Material
MONTHYEARML24120A0122024-04-30030 April 2024 60-day Information Collection Renewal FRN for 10 CFR Part 9 ML24114A1962024-04-23023 April 2024 Final Supporting Statement for Identity, Credential and Access Management System (Icams) ML24061A1082024-03-26026 March 2024 OMB 3150-0169 Burden Spreadsheet for Nrcar Information Collection Renewal ML24045A3242024-03-18018 March 2024 OMB 3150-0038, 30-day FRN for NRC Form 483 - Final ML23332A0442024-01-0808 January 2024 OMB 3150-0158, Draft Federal Register Notice, 10 CFR 36, Licenses and Radiation Safety Requirements for Irradiators ML23223A0162023-11-29029 November 2023 OMB-3150-XXXX Draft Pre-Application Communication and Scheduling for Licensing Actions Related to Digital Instrumentation and Controls - 60-Day FRN ML23318A4302023-11-28028 November 2023 OMB 3150-0006, 30-Day FRN for NRC Form 5 ML23256A1802023-11-21021 November 2023 OMB 3150-XXXX, Final Codes and Standards - 30-day Federal Register Notice ML23319A4462023-11-15015 November 2023 NRC 749 Form (OMB Copy)(07-06-2023) Fm ML23240A3622023-10-17017 October 2023 OMB 3150-0044, 10 CFR Part 19, Draft Supporting Statement ML23270C0192023-10-11011 October 2023 Final 2023 Supporting Statement for 3150-0223 NRC Form 749 LVS ML23227A1732023-10-0202 October 2023 OMB 3150-0026, Draft Supporting Statement for Form 354, Data Report on Spouse ML23227A1742023-10-0202 October 2023 NRC Form 354, Data Report on Spouse ML23156A2412023-09-28028 September 2023 10 CFR Part 63- 60-day Supporting Statement 2023 ML23164A0432023-09-13013 September 2023 OMB Renewal CUI Challenge Request Final Supporting Statement ML23046A1252023-09-0101 September 2023 OMB 3150-0151, Draft 2023 Collection Renewal 10 CFR Part 52, Licenses, Certifications, and Approvals for Nuclear Power Plants - 60-day FRN ML23017A1322023-02-23023 February 2023 OMB 3150-0190 Draft Federal Register Notice, NRC Form 629, Authorization for Payment by Credit Card ML23017A1332023-02-22022 February 2023 OMB 3150-0190 Draft Supporting Statement, NRC Form 629, Authorization for Payment by Credit Card ML23011A2882023-02-21021 February 2023 Final Supporting Statement for 10 CFR Part 25 - Access Authorization (3150-0046) ML22339A0882023-02-13013 February 2023 OMB 3150-0218 Final Federal Register Notice: (NRC-2022-0028) Information Collection: NRC Form 850, Request for Contractor Assignment(S) ML22339A0892023-02-0808 February 2023 OMB 3150-0218 Final Supporting Statement for NRC Form 850 Request for Contractor Assignment(S) ML22206A2212023-01-30030 January 2023 OMB-3150-0035 Draft 2023 Collection Renewal 10 CFR Part 21 Reporting of Defects and Noncompliance - 60 Day FRN ML23023A2362023-01-26026 January 2023 Final Supporting Statement for Form 327 OMB Clearance ML22251A0842023-01-24024 January 2023 Draft Supporting Statement - NRC CUI Information Sharing Agreement ML22318A1272023-01-0303 January 2023 Final OMB Supporting Statement: NRC Form 314 ML22341A0832023-01-0303 January 2023 Final Supporting Statement for NRC Form 277 Request for Visit ML22353A0952022-12-19019 December 2022 Draft Supporting Statement for Privacy Act Complaint Form 974 ML22199A0042022-11-18018 November 2022 OMB-3150-0001, Final Supporting Statement for 10 CFR Part 32, Specific Domestic Licenses to Manufacture or Transfer Certain Item Containing Byproduct Material ML22235A6932022-11-17017 November 2022 OMB 3150-XXXX, Final 2022 New Collection, Scheduling Information for the Licensing of Accident Tolerant, Higher Burnup, and Increased Enrichment Fuels - Supporting Statement ML22301A0032022-11-15015 November 2022 OMB 3150-0165 Final OMB Supporting Statement for NRC Forms 542 and 542A ML22301A0232022-11-15015 November 2022 OMB 3150-0166 Final OMB Supporting Statement: NRC Forms 541 and 541 a ML22301A0502022-11-15015 November 2022 OMB 3150-0164 Final OMB Supporting Statement NRC Forms 540 and 540A ML22306A0582022-11-15015 November 2022 NRC Form 313A(AUT) for OMB Renewal 2022 ML22306A0612022-11-15015 November 2022 NRC Form 313A(ANP) for OMB Renewal 2022 ML22306A0622022-11-15015 November 2022 NRC Form 313A (AMP) for OMB Renewal 2022 ML22306A0562022-11-15015 November 2022 OMB 3150-0120, Final Supporting Statement for NRC Form 313 Application for Materials License, and NRC Forms 313A ML22306A0632022-11-15015 November 2022 NRC Form 313A (RSO) for OMB Renewal 2022 RIS 2009-06, OMB 3150-XXXX, Draft Supporting Statement for NRC Regulatory Issue Summary 2009-06, Revision 1, Importance of Giving the NRC Advance Notice of Intent to Pursue License Renewal2022-11-10010 November 2022 OMB 3150-XXXX, Draft Supporting Statement for NRC Regulatory Issue Summary 2009-06, Revision 1, Importance of Giving the NRC Advance Notice of Intent to Pursue License Renewal ML22153A0362022-09-20020 September 2022 Draft Supporting Statement 2022 - NRC Form 277, Request for Visit (3150-0051) ML22244A0922022-09-0101 September 2022 OMB Screenshot 361 Form, Reactor Plant Event Notification ML22200A1112022-08-26026 August 2022 60-day Federal Register Notice - Information Collection: Access Authorization ML22200A1132022-08-23023 August 2022 3150-0046, Draft Burden Tables for 10 CFR Part 25 Information Collection Renewal ML22235A6882022-08-23023 August 2022 NRC 277 (OMB Copy)(08-23-2022) Fm ML22244A0952022-08-22022 August 2022 OMB Screenshot 361A Form ML22186A2162022-08-16016 August 2022 Final Supporting Statement 10 CFR Part 60 ML22158A0482022-08-16016 August 2022 OMB 3150-XXXX, Draft 2022 New Collection, Scheduling Information for the Licensing of Accident Tolerant, Higher Burnup, and Increased Enrichment Fuels - 60-Day FRN ML22195A2622022-08-12012 August 2022 OMB 3150-XXXX, Final Supporting Statement - Nrcareers (Monster Government Solutions) ML22199A2452022-08-12012 August 2022 OMB 3150-0209 Final Supporting Statement for 10 CFR Part 5 ML22187A2822022-08-0303 August 2022 Final Supporting Statement for Invoice Submissions by Contractors for NRC Contracts/Orders (3150-0109) ML22166A4222022-07-26026 July 2022 OMB 3150-0055, Final 30-day FRN for Information Collection: Safeguards on Nuclear Material, Implementation of Us/Iaea Agreement 2024-04-30
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NRC FORM 831 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0036 EXPIRES: (MM/DD/YYYY)
(MM-YYYY)
Estimated burden per response to comply with this mandatory collection request: 30 minutes. This form 10 CFR 110.50(c)(3)(i) 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, (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-001, or by REPORT OF EXPORT e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, 3150-0036, 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.
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)(i) ATTN: Headquarters Operation Center of the U.S. NRC Regulations Email: hoo.hoc@nrc.gov (Preferred Reporting Method)
Reference Number: Fax: (301) 816-5151 (Alternative Reporting Method)
Part 110 license number:
A Expiration date:
Name of the individual and licensee making the notification: (address, city, state, zip code and telephone number)
B U. S. exporting facility:
(company name, address, city, state, zip code and telephone number)
Foreign recipient name, address and end use C
location(s) if different than recipient's address:
Radionuclide(s) and activity level in TBq, both D for single and aggregate shipments:
Total Activity Level (TBq):
Make, model and serial number, for any E
category 1 and 2 sealed sources, if available:
F End-use in the importing country, if known:
G Shipment date: (MM/DD/YYYY)
This notification should be accompanied by a copy of the foreign recipient's authorization or confirmation H
of that authorization from the government of the importing country, as required by 110.32(g).
Comments:
NRC Form 831 (MM-YYYY)