Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock (
) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
Form Number: | |
|---|---|
Form Title: | Request for Access Authorization |
Current Edition: | 09-24-2025 |
Authority Directive or Regulation: | NRC MD 12.3 |
Form Status: | Approved by OMB: 3150-0050, Expires: 05/31/2026 |
Special Instructions: | Instructions and additional information pertinent to the completion of the form are on Page 2 of the form. |
Page Last Reviewed/Updated Thursday, September 25, 2025
Page Last Reviewed/Updated Thursday, September 25, 2025
