Approved by OMB: 3150-0104, Expires: 08/31/2023
Instructions and additional information pertinent to the completion of the form are on page 2 of the form.
For Questions contact the Office of Nuclear Reactor Regulation - (NRR)
Mark King at 301-415-1150 or Eric Thomas at 301-415-6772.
Page Last Reviewed/Updated Thursday, October 22, 2020