ML20217N903

Forwards Revised Forms,Nrc form-398,personal Qualifications statement-licensee & form-396,certification of Medical Exam by Facility Licensee

ML20217N903
Person / Time
Site:	FitzPatrick
Issue date:	04/02/1998
From:	Conte R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:	Locy R POWER AUTHORITY OF THE STATE OF NEW YORK (NEW YORK
References
RTR-REGGD-01.134, RTR-REGGD-1.134 IEIN-97-067, IEIN-97-67, NUDOCS 9804090246
Download: ML20217N903 (5)

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APR 2 1998 Mr. Roger A. Locy Manager - Nuclear Training New York Power Authority P. O. Box 41 {

Lycoming, New York 13093 j

Gentlemen:

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SUBJECT:

REVISED NRC FORMS 398 and 396 1 l

Enclosed is a copy of the revised forms: NRC Form-398, Personal Qualifications Statement

- Licensee (Enclosure 1), and NRC Form-396, Certification of Medical Examination by

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-1 Facility Licensee (Enclosure 2). Due to error on the instructions for Form 398, addendum I instructions for completing the form are provided as Enclosure 3 to this letter. You should use these forms immediately for any new applications or license renewals that you are sending to the NRC.

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' Enclosure 4 provides a summary of the detailed changes for these forms. On Form 398, you should note that applicants are now required to provide evidence on the significant

. control manipulations performed as trainees at the facility for which the license is being  ;

sought. On this matter, you should refer to NRC Information Notice No. 97-67, dated August 21,1997.

On Form 396, the applicable guidance used in making the medical determinations needs to be indicated. ' Also, be advised that the NRC staff has recently approved Revision 3 of Regulatory Guide 1.134," Medical Evaluation of Licensed Personnel at Nuclear Power

~ Plants," which endorses ANSI /ANS-3.4-1996," Medical Certification and Monitoring of.

Personnel Requiring Operator Licenses for Nuclear Power Plants." A notice in the Federal Register will be out shortly.

Further, you should keep a copy of Enclosure 3 with the Form 398 until new forms are printed and distributed. Your office can obtain additional copies of both forms by contacting Beverly Martin by telephone on 301-415-5877or by writing to her, U.S. )'g Nuclear Regulatory Commission, Office of the Chief Information Officer, Mail Stop T-6-F-d- 33, Washington, D.C. 20555-0001,or e-mail BAM1 @NRC. gov.

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Mr. Roger A. Locy I i

If you have any questions regarding these forms, please contact Virgil Curley at 610-337-

)i 5379 or by e-mail VNC@NRC. gov. I Sincerely, Richard J. Conte, Chief Operator Licensing and Human Performance Branch Division of Reactor Safety Docket No. 50-333 Enclosure 1: NRC Foim-398 - Personal Qualifications Statement - Licensee Enclosure 2: NRC Form-396- Certification of Medical Examination by Facility Licensee Enclosure 3: Addendum Instructions for NRC Form-398 Enclosure 4: Description of Changes to NRC Forms-398 and 396 1

1 cc w/ enclosures-l M. J. Colomb, Site Executive Officer PUBLIC occ w/ enclosures:

OL Facility File l

DOCUMENT NAME: A:\ forms. fit I

. TD receive a copy of this document. Indicate in the box: "C" = Copy without attadim6ntienclosure *E" = Copy with attachment / enclosure *N" = No ]

copy-0FFICE Rl/DRS l Rl/DRS a jj / l l l  :

NAME Curley Conte //'r' DATE 03/31/98 M/ / /98 03/ /98 03/ /98 03/ /98 i Fy 0FFICIAL RECORD COPY l

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ENCLOSURE 3 ADDENDUM INSTRUCTION TO NRC FORM 398 Applies to the instructions for item 4.g, on the " Type of Application":

g. DATE PASSED GENERIC FUNDAMENTALS EXAM SECTION (GFES)

The last sentence of 4.g states: "This does not include instructor certification examinations or requalification examinations".

This statement is in error and is not in accordance with interim Rev. 8, ES-205, section B, third paragraph, which states as follows:

" Applicants do not need to take the GFE (nor obtain a waiver) if they were previously issued an RO or SRO license or an instructor certification

[ underline added] based on a site specific written examination (on the same type of facility) that was administered between February 1982 and November 1989 and included the material covered by the GFE. Applicants who were issued a license before 1982, will have to take the examination or apply for a waiver in accordance with ES-204.

The last sentence of 4.g should read, "This does not include reaualification examinations."

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ENCLOSURE 4 CHANGES TO NRC FORMS 398 AND 396 l NRC Form item Description of Changes Number Number 398 4.g See Enclosure 3 '

398 13 Instruction Sheet: All new applications must provide evidence J in accordance with 10 CFR 55.31(b) that the applicant, as a trainee, has successfully manipulated the controls of the facility for which a license is sought. This section was ,

changed to read ao follows: 2 "At a minimum, five significant control manipulations must be 1 performed which affect reactivity or power level under item 13.3c. list the five sianificant control manioulations in item '

1. 17. " )

398 18 Instruction Sheet - changed to read: "NRC Form 396, Certification of Medical Examination by Facility licensee must ,

accompany this application unless a waiver of the medical l

examination is beina reauested.

398 NA Form: The OMB expiration date is now 10/31/2000, in the '

OMB block the following was added: "If an information collection does not disolav a currentiv valid OMB control  !

number, the NRC may not conduct or sponsor, and a oerson is not reauired to resoond to the information collection".

398 NA- Form and instructions: Top and Bottom left-hand side have date changes to 10-1997.

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NRC Form item Description of Changes Number Number 396 Item A Medical Exam Information - statement regarding safeguards and fitness for duty requirements has been moved from item B to be included with the statement under A - Medical Exam Information as noted below:

"This sa to certify that the above named applicant for an operato;/ senior operator license has been examined by a physiciar6.snd that the aoolicant has been found to meet the safeouards and fitness for duty reouirements for licensed coerators at this facility."

Item A Below the physician name,...... line, the word " physical" has been added:

" Based on the results of the ohvsical examination, including...."

in this same paragraph it states as follows: "I certify that in reaching this determination, the guidance contained in ANSl/ANS 3.4-1996 ANSI /ANS 3.4-1983 or ANSI /ANS 3,4-1996 was used.

item B NONMEDICAL CERTIFICATION (old form) has been changed to: B - CERTIFICATION (new form) 396 NA Top and Bottom left-hand side of the form have date changes to 3-1998 396 NA Top right corner - OMB expiration date changed to :

12/31/1999 ,

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