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The U.S. Nuclear Regulatory Commission is in the process of rescinding or revising guidance and policies posted on this webpage in accordance with Executive Order 14151 Ending Radical and Wasteful Government DEI Programs and Preferencing, and Executive Order 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. In the interim, any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.

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NRC Form 354 - Data Report on Spouse

Form Number: NRC Form 354
Form Title: Data Report on Spouse
Current Edition: 12-31-2024
Authority Directive or Regulation: N/A
Form Status: Approved by OMB: 3150-0026, Expires: 12/31/2027
Special Instructions:

Instructions

This form will be completed by persons who marry or cohabitate after the time they submit the Standard Form 86 (SF-86), "Questionnaire for National Security Positions," or marries or cohabitates after having been granted an access authorization, or employment clearance in connection with the U.S. Nuclear Regulatory Commission (NRC) access authorization (security clearance).This form will be submitted to the Federal Bureau of Investigations for the purpose of conducting name checks on the spouse/cohabitant and spouse's parents.

Completed NRC Form 354s shall be submitted in the following manner:

  • By mail addressed to: ATTN: Document Control Desk, Director, Division of Facilities and Security, Office of Administration, U.S. Nuclear Regulatory Commission, Washington, DC 20555–0001;
  • By hand delivery to the NRC's offices at 11555 Rockville Pike, Rockville, Maryland; or

For Questions Call:  Emily Robbins at (301) 415-7000 or Emily.Robbins@nrc.gov

Page Last Reviewed/Updated Thursday, January 02, 2025