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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any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.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 441 – U.S. Nuclear Regulatory Commission Security Agreement

Form Number: NRC Form 441
Form Title: U.S. Nuclear Regulatory Commission Security Agreement
Current Edition: 00-11-2024
Authority Directive or Regulation: N/A
Form Status: N/A
Special Instructions:

Completed NRC Form 441, U.S. Nuclear Regulatory Commission Security Agreement shall be submitted in the following manner:

  • By mail addressed to:

    U.S. Nuclear Regulatory Commission
    ATTN: Industrial Security Program
    Mail Stop T3B06
    11545 Rockville Pike
    Rockville, MD  20852 
     
  • By hand delivery to:

    U.S. Nuclear Regulatory Commission
    Facilities Security Branch
    Mail Stop T3B06
    11545 Rockville Pike
    Rockville, MD 20852

Please note that this document must be an original hand signed document, therefore submission by e-mail is not authorized.

E-mail Questions to:  IndustrialSecurity@nrc.gov

Page Last Reviewed/Updated Wednesday, September 18, 2024