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NRC Forms

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• NRC Forms


• IAEA Forms

NRC Forms

Go To NRC Form	Go To Info Sheet	Title of Form
3		Notice to Employees
3A		Aviso a Los Empleados
4		Cumulative Occupational Dose History
5		Occupational Dose Record for a Monitoring Period
7		Application for License to Export Nuclear Material and Equipment
64		Travel Voucher
136		Security Termination Statement
171		Duplication Request (PDR)
176		A. Security Acknowledgment B. Special Nuclear Material Access Authorization Acknowledgment
189		DOE Laboratory Project and Cost Proposal for NRC Work
212		Qualifications Investigation (Technical Positions)
212A		Qualifications Investigations (Secretarial/Clerical)
237		Request for Access Authorization
241		Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters
244		Registration Certificate - Use of Depleted Uranium under General License
277		Request for Visit
313		Application for Material and Preceptor Statement License
313A		Training and Experience
314		Certificate of Disposition of Materials
327		Special Nuclear Material (SNM) and Source Material (SM) Physical Inventory Summary Report
335		Bibliographic Data Sheet
354		Data Report on Spouse
361		Reactor Plant Event Notification Worksheet
361A		Fuel Cycle and Materials Event Notification Worksheet
366		Licensee Event Report (LER)
366A		Licensee Event Report (LER) [Continuation]
366B		Licensee Event Report Failure [Continuation]
390A		Release to Publish Unclassified NRC Contractor Speeches, Papers, and Journal Articles
396		Certificate of Medical History by Facility Licensee
398		Personal Qualification Statement - Licensee
426		Authorization to Publish a Manuscript in the NUREG Series
445		Request for Approval of Official Foreign Travel
450		General Assignment
483		Registration Certificate - in vitro Testing with Byproduct Material Under General License
526		Certification of Small Entity Status for the Purposes of Annual Fees Imposed Under 10 CFR Part 171
531		Request for Taxpayer Identification Number
536		Operator Licensing Examination Data
540		Low Level Waste Manifest Shipping Paper
540A		Low Level Waste Manifest Shipping Paper (Continuation)
541		Low Level Waste Manifest Container and Waste Description
541A		Low Level Waste Manifest Container and Waste Description (Continuation)
542		Low Level Waste Manifest Index and Regional Compact Tabulation (Continuation)
542A		Low Level Waste Manifest Index and Regional Compact Tabulation
552A		Status Report Review
554B		Independent Government Cost Estimate (IGCE) for Interagency Agreements
555A		Summary of Negotiations Interagency Agreement
556A		Fiscal Year Advance Procurement Plan Interagency Agreement
558A		Summary of Proposal Evaluation Interagency Agreement
559A		NRC/Interagency Project Closeout
590		Application/Permit for Use of the Two White Flint North (TWFN) Auditorium
628		Financial EDI Authorization
629		Authorization for Payment by Credit Card
653		Transfers of Industrial Devices Report
662		Award of Interagency Agreement
664		General Licensee Registration
667		Servicing Agency Project and Cost Proposal for NRC Work
740M		Concise Note
741		Nuclear Material Transaction Report
742		Material Status Report
742C		Physical Inventory Listing
790		Classification Record

IAEA Forms

Go To IAEA Form	Go To Info Sheet	Title of Form
IAEA - N71		IAEA Design Information Questionnaire All Facilities
IAEA - N72		IAEA Design Information Questionnaire Research and Power Reactors
IAEA - N73		IAEA Design Information Questionnaire Conversion and/or Fuel Fabrication Plants
IAEA - N74		IAEA Design Information Questionnaire Reprocessing Plants
IAEA - N75		IAEA Design Information Questionnaire Isotopic Enrichment Plants
IAEA - N91		IAEA Design Information Questionnaire Information in Respect of Nuclear Material Outside Facilities
IAEA - N92		IAEA Design Information Questionnaire Research and Development Facilities
IAEA - N93		IAEA Design Information Questionnaire Critical (Sub-Critical) Facilities
IAEA - N94		IAEA Design Information Questionnaire Separate Storage Installations

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Last revised Tuesday, October 05, 2004