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

Form Number:

NRC Form 176

Form Title:

A. Security Acknowledgment
B. Special Nuclear Material Access Authorization Acknowledgment
C. Security Debriefing Acknowledgement

Current Edition:

12/30/2025

Authority Directive or Regulation:

10 CFR 11, NRC Management Directive 12.3

Form Status:

Approved by OMB: 3150-0239, Expires: 12/31/2028

Special Instructions:

N/A

Page Last Reviewed/Updated Thursday, August 27, 2026

Page Last Reviewed/Updated Thursday, August 27, 2026