Approved by OMB: 3150-0104, Expires: 03/31/2024
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
Chris Speer at 301-415-0520 or Brian Benney at 301-415-2767.
Page Last Reviewed/Updated Monday, October 02, 2023