ML19127A360

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NRC Form 830A (OMB Copy)
ML19127A360
Person / Time
Issue date: 05/29/2019
From:
NRC/OCIO, NRC/OGC, NRC/OIP
To:
References
OMB 3150-0036
Download: ML19127A360 (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, (T-6 A10M), 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:

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