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: 12-2020
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 Friday, January 08, 2021