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NRC Form 176 - A. Security Acknowledgment, B. Special Nuclear Material Access Authorization Acknowledgment

Form Number: NRC Form 176 PDF Icon
Form Title: A. Security Acknowledgment
B. Special Nuclear Material Access Authorization Acknowledgment
Current Edition: 10-2019
Authority Directive or Regulation: 10 CFR 11, NRC Management Directive 12.3
Form Status: Approved by OMB: 3150-0239, Expires: 10/31/2022
Special Instructions: N/A
Page Last Reviewed/Updated Tuesday, November 05, 2019