NRC Forms

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NOTE REGARDING FORM EXPIRATION DATES: It is the NRC's policy to submit all forms to the Office of Management and Budget (OMB) for review prior to their expiration dates. If OMB does not complete its review of a form prior to the form's expiration date, the expiration date is automatically extended. Forms currently under review by OMB may display an expiration date that has passed. Once OMB review is complete and a new expiration date is assigned, the date will be updated. For a list of forms currently under review at OMB, go to the OMB's Information Collection Review page and select "Nuclear Regulatory Commission" in the box titled "Currently Under Review." You may send an email to Forms.Resource@nrc.gov to verify that a form is still in the renewal process.

On this page:

• NRC Forms
• IAEA Forms
• DHS Forms

Standard and Optional Forms - Go to: GSA Forms Library

Fitness for Duty Forms (NRC Forms 890, 891, and 892)

NRC Forms

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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 NRC Export or Import License, Amendment, Renewal, or Consent Request(s)
64		Travel Voucher
149		OCFO Invitational Traveler Request Form
176		A. Security Acknowledgment B. Special Nuclear Material Access Authorization Acknowledgment C. Security Debriefing Acknowledgement
212		Qualifications Investigation Professional, Technical, and Administrative Positions
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
313		Application for Materials License
313A(AMP)		Authorized Medical Physicist or Ophthalmic Physicist, Training, Experience, and Preceptor Attestation
313A(ANP)		Authorized Nuclear Pharmacist Training, Experience, and Preceptor Attestation
313A(AUD)		Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.100, 35.200, and 35.500)
313A(AUS)		Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.400 and 35.600)
313A(AUT)		Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.300)
313A(RSO)		Radiation Safety Officer or Associate Radiation Safety Officer Training, Experience, and Preceptor Attestation
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
361N		Non-Power Reactor (NPR) Event Notification Worksheet
366		Licensee Event Report (LER)
366A		Licensee Event Report (LER) (Continuation Page)
366B		Licensee Event Report Failure (Failure Continuation)
390A		Release to Publish Unclassified NRC Contractor Speeches, Presentations, Papers, and Journal Articles
396		Certification of Medical Examination by Facility Licensee
398		Personal Qualification Statement – Licensee
405F		List ALL Owners, Officers, Directors, and Executive Personnel (OODEP's)
426		Authorization to Publish a Manuscript in the NUREG Series
441		U.S. Nuclear Regulatory Commission Security Agreement
441A		Appendage to the U.S. Nuclear Regulatory Commission Security Agreement
483		Registration Certificate - in vitro Testing with Byproduct Material Under General License
507		Identity Verification and/or Third-Party Authorization  For Freedom of Information Act/ Privacy Act Requests
509		Statement of Estimated Fees for Freedom of Information Act (FOIA) Request
526		Certification of Small Entity Status for the Purposes of Annual Fees Imposed under 10 CFR Part 171 (Effective April 1, 2024)
527		Request for Information Related to Fees-for-Service
529		Dispute of Fees-for-Service Charges in Accordance with Title 10 of the Code of Federal Regulations (10 CFR) §170.51
531		Request for Taxpayer Identification Number
536		Operator Licensing Examination Data
540		Uniform Low-Level Radioactive Waste Manifest – Shipping Paper
540A		Uniform Low-Level Radioactive Waste Manifest – Shipping Paper  (continuation)
541		Uniform Low-Level Radioactive Waste Manifest – Container and Waste Description
541A		Uniform Low-Level Radioactive Waste Manifest – Container and Waste Description (continuation)
542		Uniform Low-Level Radioactive Waste Manifest – Manifest Index and Regional Compact Tabulation
542A		Uniform Low-Level Radioactive Waste Manifest – Manifest Index and Regional Compact Tabulation (continuation)
590		Application/Permit for Use of the Two White Flint North (TWFN) Auditorium
653		Transfers of Industrial Devices Report
664		General Licensee Registration
740M		Concise Note
741		Nuclear Material Transaction Report
742		Material Status Report
742C		Physical Inventory Listing
748		National Source Tracking Transaction Report (Long Form)
748A		National Source Tracking Transaction Report – Report Source Inventory
748B		National Source Tracking Transaction Report – Transfer Source
748C		National Source Tracking Transaction Report – Receive Source
748D		National Source Tracking Transaction Report – Dispose Source
748E		National Source Tracking Transaction Report – New Source Manufactured
748F		National Source Tracking Transaction Report – Import Source
748G		National Source Tracking Transaction Report – Export Source
748H		National Source Tracking Transaction Report – Disassemble Source
749		Manual License Verification Report
754		Armed Security Personnel Firearms Background Check
755		Advance Notification to the NRC of Shipments of Category 1 Quantities of Radioactive Material
781		SBCR Compliance Review Part A, Part B, and Part C
782		Complaint Form
787		Freedom of Information Act – User Survey
790		Classification Record
830		Report of Import
830A		Report of Import Continuation Sheet
831		Report of Export
831A		Report of Export Continuation Sheet
833		Form to Propose a Generic Issue (GI)
835		U. S. Nuclear Regulatory Commission Office of the Inspector General FAR Contractor Reporting Form
972		NRC University Nuclear Leadership Program (UNLP) Service Agreement for Grant Fellowships, and Scholarships to Colleges, Universities and Trade/Community Colleges
974		Privacy Act Complaints, Concerns or Questions Form
975		NRC Minority Serving Institutions Grants Program (MSIGP) Service Agreement for Grant Fellowships, and Scholarships to Colleges, Universities and Trade/Community Colleges

IAEA Forms

Go to IAEA Form	Go to Info Sheet	Title of Form
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 - N76		IAEA Design Information Questionnaire – Geological Repositories
IAEA - N77		IAEA Design Information Questionnaire – Spent Fuel Encapsulation Plants
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

DHS Forms