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Access Authorization Acknowledgment
NRC Form 176 - A. Security Acknowledgment, B. Special Nuclear Material Access Authorization Acknowledgment
| Form Number: | NRC
Form 176  |
| Form Title: | A. Security Acknowledgment B. Special Nuclear Material Access Authorization Acknowledgment |
| Current Edition: | 05-2005 |
| Authority Directive or Regulation: | 10 CFR 11, NRC Management Directive 12.3 |
| Form Status: | OMB Approval Not Required; Expires: N/A |
| Special Instructions: | N/A |
Page Last Reviewed/Updated Tuesday, September 11, 2012
