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NRC Form |
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Info Sheet |
Title of Form |
3 |
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Notice to Employees |
3A |
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Aviso a los Empleados |
4 |
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Cumulative Occupational Dose History |
5 |
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Occupational Dose Record for a Monitoring Period |
7 |
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Application for NRC Export or Import License, Amendment, Renewal, or Consent Request(s) |
64 |
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Travel Voucher |
149 |
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OCFO Invitational Traveler Request Form |
176 |
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A. Security Acknowledgment
B. Special Nuclear Material Access Authorization Acknowledgment
C. Security Debriefing Acknowledgement |
212 |
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Qualifications Investigation Professional, Technical, and Administrative Positions |
237 |
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Request for Access Authorization |
241 |
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Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters |
244 |
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Registration Certificate - Use of Depleted Uranium under General License |
313 |
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Application for Materials License |
313A(AMP) |
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Authorized Medical Physicist or Ophthalmic Physicist, Training, Experience, and Preceptor Attestation |
313A(ANP) |
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Authorized Nuclear Pharmacist Training, Experience, and Preceptor Attestation |
313A(AUD) |
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Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.100, 35.200, and 35.500) |
313A(AUS) |
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Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.400 and 35.600) |
313A(AUT) |
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Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.300) |
313A(RSO) |
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Radiation Safety Officer or Associate Radiation Safety Officer Training, Experience, and Preceptor Attestation |
314 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Certificate of Disposition of Materials |
327 |
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Special Nuclear Material (SNM) and Source Material (SM) Physical Inventory Summary Report |
335 |
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Bibliographic Data Sheet |
354 |
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Data Report on Spouse |
356 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
U. S. Nuclear Regulatory Commission Senior Executive Service (SES) Candidate Development Program (CDP) Management Evaluation Form
|
361 |
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Reactor Plant Event Notification Worksheet |
361A |
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Fuel Cycle and Materials Event Notification Worksheet |
361N |
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Non-Power Reactor (NPR) Event Notification Worksheet |
366 |
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Licensee Event Report (LER) |
366A |
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Licensee Event Report (LER) (Continuation Page) |
366B |
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Licensee Event Report Failure (Failure Continuation) |
390A |
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Release to Publish Unclassified NRC Contractor Speeches, Presentations, Papers, and Journal Articles |
396 |
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Certification of Medical Examination by Facility Licensee |
398 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Personal Qualification Statement – Licensee |
405F |
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List ALL Owners, Officers, Directors, and Executive Personnel (OODEP's) |
426 |
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Authorization to Publish a Manuscript in the NUREG Series |
441 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
U.S. Nuclear Regulatory Commission Security Agreement |
441A |
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Appendage to the U.S. Nuclear Regulatory Commission Security Agreement |
483 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Registration Certificate - in vitro Testing with Byproduct Material Under General License |
507 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Identity Verification and/or Third-Party Authorization For Freedom of Information Act/ Privacy Act Requests |
509 |
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Statement of Estimated Fees for Freedom of Information Act (FOIA) Request |
526 |
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Certification of Small Entity Status for the Purposes of Annual Fees Imposed under 10 CFR Part 171 (Effective April 1, 2024) |
527 |
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Request for Information Related to Fees-for-Service |
529 |
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Dispute of Fees-for-Service Charges in Accordance with Title 10 of the Code of Federal Regulations (10 CFR) §170.51 |
531 |
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Request for Taxpayer Identification Number |
536 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Operator Licensing Examination Data |
540 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Uniform Low-Level Radioactive Waste Manifest – Shipping Paper |
540A |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Uniform Low-Level Radioactive Waste Manifest – Shipping Paper (continuation) |
541 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Uniform Low-Level Radioactive Waste Manifest – Container and Waste Description |
541A |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Uniform Low-Level Radioactive Waste Manifest – Container and Waste Description (continuation) |
542 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Uniform Low-Level Radioactive Waste Manifest – Manifest Index and Regional Compact Tabulation |
542A |
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Uniform Low-Level Radioactive Waste Manifest – Manifest Index and Regional Compact Tabulation (continuation) |
590 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Application/Permit for Use of the Two White Flint North (TWFN) Auditorium |
629 |
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Authorization for Payment by Credit Card |
653 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Transfers of Industrial Devices Report |
664 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
General Licensee Registration |
740M |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Concise Note |
741 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Nuclear Material Transaction Report |
742 |
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Material Status Report |
742C |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Physical Inventory Listing |
748 |
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National Source Tracking Transaction Report (Long Form) |
748A |
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National Source Tracking Transaction Report – Report Source Inventory |
748B |
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National Source Tracking Transaction Report – Transfer Source |
748C |
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National Source Tracking Transaction Report – Receive Source |
748D |
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National Source Tracking Transaction Report – Dispose Source |
748E |
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National Source Tracking Transaction Report – New Source Manufactured |
748F |
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National Source Tracking Transaction Report – Import Source |
748G |
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National Source Tracking Transaction Report – Export Source |
748H |
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National Source Tracking Transaction Report – Disassemble Source |
749 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Manual License Verification Report |
754 |
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Armed Security Personnel Firearms Background Check |
755 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
Advance Notification to the NRC of Shipments of Category 1 Quantities of Radioactive Material |
781 |
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SBCR Compliance Review Part A, Part B, and Part C |
782 |
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Complaint Form |
787 |
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Freedom of Information Act – User Survey |
790 |
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Classification Record |
830 |
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Report of Import |
830A |
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Report of Import Continuation Sheet |
831 |
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Report of Export |
831A |
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Report of Export Continuation Sheet |
833 |
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Form to Propose a Generic Issue (GI) |
835 |
![Form Information Icon](https://www.nrc.gov/images/reading-rm/form-info-icon.gif) |
U. S. Nuclear Regulatory Commission Office of the Inspector General FAR Contractor Reporting Form |
974 |
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Privacy Act Complaints, Concerns or Questions Form |