ML22269A458
| ML22269A458 | |
| Person / Time | |
|---|---|
| Issue date: | 03/30/2023 |
| From: | NRC/NRR/DRO |
| To: | NRC/OCIO |
| Shared Package | |
| ML22230C805 | List: |
| References | |
| NRC-2022-0169, OMB-3150-0104 | |
| Download: ML22269A458 (1) | |
Text
NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0104 EXPIRES: (MM/DD/YYYY)
(MM-YYYY)
Estimated burden per response to comply with this mandatory collection request: 80 hours9.259259e-4 days <br />0.0222 hours <br />1.322751e-4 weeks <br />3.044e-5 months <br />. Reported lessons learned are incorporated into the licensing process and fed back to industry. Send comments regarding burden LICENSEE EVENT REPORT (LER) estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U. S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and the OMB reviewer (See Page 2 for required number of digits/characters for each block) at: OMB Office of Information and Regulatory Affairs, (3150-0104), Attn: Desk Officer for the Nuclear Regulatory (See NUREG-1022, R.3 for instruction and guidance for completing this form Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1022/r3/) 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.
- 1. Facility Name 2. Docket Number 3. Page 050 1 OF 052
- 4. Title
- 5. Event Date 6. LER Number 7. Report Date 8. Other Facilities Involved Sequential Revision Facility Name Docket Number Month Day Year Year Month Day Year Number No. 050
- - Facility Name 052 Docket Number
- 9. Operating Mode 10. Power Level
- 11. This Report is Submitted Pursuant to the Requirements of 10 CFR §: (Check all that apply) 10 CFR Part 20 20.2203(a)(2)(vi) 10 CFR Part 50 50.73(a)(2)(ii)(A) 50.73(a)(2)(viii)(A) 73.1200(a) 20.2201(b) 20.2203(a)(3)(i) 50.36(c)(1)(i)(A) 50.73(a)(2)(ii)(B) 50.73(a)(2)(viii)(B) 73.1200(b) 20.2201(d) 20.2203(a)(3)(ii) 50.36(c)(1)(ii)(A) 50.73(a)(2)(iii) 50.73(a)(2)(ix)(A) 73.1200(c) 20.2203(a)(1) 20.2203(a)(4) 50.36(c)(2) 50.73(a)(2)(iv)(A) 50.73(a)(2)(x) 73.1200(d) 20.2203(a)(2)(i) 10 CFR Part 21 50.46(a)(3)(ii) 50.73(a)(2)(v)(A) 10 CFR Part 73 73.1200(e) 20.2203(a)(2)(ii) 21.2(c) 50.69(g) 50.73(a)(2)(v)(B) 73.77(a)(1) 73.1200(f) 20.2203(a)(2)(iii) 50.73(a)(2)(i)(A) 50.73(a)(2)(v)(C) 73.77(a)(2)(i) 73.1200(g) 20.2203(a)(2)(iv) 50.73(a)(2)(i)(B) 50.73(a)(2)(v)(D) 73.77(a)(2)(ii) 73.1200(h) 20.2203(a)(2)(v) 50.73(a)(2)(i)(C) 50.73(a)(2)(vii)
OTHER (Specify here, in abstract, or NRC 366A).
- 12. Licensee Contact for this LER Licensee Contact Phone Number (Include area code)
- 13. Complete One Line for each Component Failure Described in this Report Cause System Component Manufacturer Reportable to IRIS Cause System Component Manufacturer Reportable to IRIS
- 14. Supplemental Report Expected Month Day Year
- 15. Expected Submission Date No Yes (If yes, complete 15. Expected Submission Date)
- 16. Abstract (Limit to 1326 spaces, i.e., approximately 13 single-spaced typewritten lines)
NRC FORM 366 (MM-YYYY) LICENSEE EVENT REPORT (LER) (Continued)
REQUIRED NUMBER OF DIGITS/CHARACTERS FOR EACH BLOCK BLOCK NUMBER OF TITLE NUMBER DIGITS/CHARACTERS 1 UP TO 127 / 2 LINES FACILITY NAME CHECK BOX FOR 050 OR 052 2 10 TOTAL DOCKET NUMBER 5 IN ADDITION TO 050 OR 052 3 VARIES PAGE NUMBER 4 UP TO 230 / 2 LINES TITLE 8 TOTAL 2 FOR MONTH 5 EVENT DATE 2 FOR DAY 4 FOR YEAR 9 TOTAL 4 FOR YEAR 6 LER NUMBER 3 FOR SEQUENTIAL NUMBER 2 FOR REVISIONS NUMBER 8 TOTAL 2 FOR MONTH 7 REPORT DATE 2 FOR DAY 4 FOR YEAR UP TO 29 -- FACILITY NAME CHECK BOX FOR 050 OR 052 8 OTHER FACILITIES INVOLVED 10 TOTAL -- DOCKET NUMBER 5 IN ADDITION TO 050 OR 052 9 1 OPERATING MODE 10 3 POWER LEVEL VARIES 11 REQUIREMENTS OF 10 CFR CHECK ALL BOXES THAT APPLY UP TO 90 FOR NAME 12 LICENSEE CONTACT 10 FOR TELEPHONE CAUSE VARIES (UP TO 8) 2 FOR SYSTEM (UP TO 8) 13 4 FOR COMPONENT (UP TO 8) EACH COMPONENT FAILURE 4 FOR MANUFACTURER (UP TO 8)
IRIS VARIES (UP TO 10) 1 14 SUPPLEMENTAL REPORT EXPECTED CHECK BOX THAT APPLIES 8 TOTAL 2 FOR MONTH 15 EXPECTED SUBMISSION DATE 2 FOR DAY 4 FOR YEAR 16 13 LINES OF TYPING ABSTRACT