Spotlight
NRC Forms
These forms are in fillable Portable Document Format (PDF). These forms require Adobe Reader. You can view or print the blank form, or you can complete the form and print it. The Reader can be downloaded for free by following the directions on our Plugins and Viewers page.
NOTE REGARDING FORM EXPIRATION DATES: It is the NRC's policy to submit all forms to the Office of Management and Budget (OMB) for review prior to their expiration dates. If OMB does not complete its review of a form prior to the form's expiration date, the expiration date is automatically extended. Forms currently under review by OMB may display an expiration date that has passed. Once OMB review is complete and a new expiration date is assigned, the date will be updated. For a list of forms currently under review at OMB, go to the OMB's Information Collection Review page and select "Nuclear Regulatory Commission" in the box titled "Currently Under Review." You may send an email to Forms.Resource@nrc.gov to verify that a form is still in the renewal process.
On this page:
Standard and Optional Forms - Go to: GSA Forms Library
NRC Forms
This page includes links to files in non-HTML format. See Plugins, Viewers, and Other Tools for more information.
Go to NRC Form |
Go to Info Sheet |
Title of Form |
---|---|---|
3 | Notice to Employees | |
3A | Aviso a los Empleados | |
4 | Cumulative Occupational Dose History | |
5 | Occupational Dose Record for a Monitoring Period | |
7 | Application for NRC Export or Import License, Amendment, Renewal, or Consent Request(s) | |
136 | Security Termination Statement | |
176 | A. Security Acknowledgment B. Special Nuclear Material Access Authorization Acknowledgment |
|
189 | DOE Laboratory Project and Cost Proposal for NRC Work | |
212 | Qualifications Investigation Professional, Technical, and Administrative Positions | |
237 | Request for Access Authorization | |
241 | Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters | |
244 | Registration Certificate - Use of Depleted Uranium under General License | |
313 | Application for Materials License | |
313A(amp) | Authorized Medical Physicist Training and Experience And Preceptor Attestation | |
313A(anp) | Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation | |
313A(aud) | Authorized User Training and Experience And Preceptor Attestation | |
313A(aus) | Authorized User Training and Experience And Preceptor Attestation | |
313A(aut) | Authorized User Training and Experience And Preceptor Attestation | |
313A(rso) | Radiation Safety Officer Training and Experience And Preceptor Attestation | |
314 | Certificate of Disposition of Materials | |
327 | Special Nuclear Material (SNM) and Source Material (SM) Physical Inventory Summary Report | |
335 | Bibliographic Data Sheet | |
354 | Data Report on Spouse | |
356 | U. S. Nuclear Regulatory Commission Senior Executive Service (SES) Candidate Development Program (CDP) Management Evaluation Form |
|
361 | Reactor Plant Event Notification Worksheet | |
361A | Fuel Cycle and Materials Event Notification Worksheet | |
361C | Gaseous Diffusion Plant Event Notification Worksheet | |
366 | Licensee Event Report (LER) | |
366A | Licensee Event Report (LER) [Continuation] | |
366B | Licensee Event Report Failure [Continuation] | |
390A | Release to Publish Unclassified NRC Contractor Speeches, Papers, and Journal Articles | |
396 | Certification of Medical Examination by Facility Licensee (with instructions) |
|
396 | Certification of Medical Examination by Facility Licensee (without instructions) |
|
398 | Personal Qualification Statement - Licensee | |
405F | List ALL Owners, Officers, Directors, and Executive Personnel (OODEP's) | |
426 | Authorization to Publish a Manuscript in the NUREG Series | |
441 | U.S. Nuclear Regulatory Commission Security Agreement | |
441A | Appendage to the U.S. Nuclear Regulatory Commission Security Agreement | |
445 | Request for Approval of Official Foreign Travel | |
483 | Registration Certificate - in vitro Testing with Byproduct Material Under General License | |
526 | Certification of Small Entity Status for the Purposes of Annual Fees Imposed under 10 CFR Part 171 (Effective August 31, 2015) | |
531 | Request for Taxpayer Identification Number | |
536 | Operator Licensing Examination Data | |
540 | Uniform Low-Level Radioactive Waste Manifest – Shipping Paper | |
540A | Uniform Low-Level Radioactive Waste Manifest – Shipping Paper (continuation) | |
541 | Uniform Low-Level Radioactive Waste Manifest – Container and Waste Description | |
541A | Uniform Low-Level Radioactive Waste Manifest – Container and Waste Description (continuation) | |
542 | Uniform Low-Level Radioactive Waste Manifest – Manifest Index and Regional Compact Tabulation | |
542A | Uniform Low-Level Radioactive Waste Manifest – Manifest Index and Regional Compact Tabulation (continuation) | |
552A | Status Report Review | |
554B | Independent Government Cost Estimate (IGCE) for Interagency Agreements | |
555A | Summary of Negotiations – Interagency Agreement | |
556A | Fiscal Year Advance Procurement Plan Interagency Agreement | |
558A | Summary of Proposal Evaluation – Interagency Agreement | |
559A | NRC/Interagency Project Closeout | |
590 | Application/Permit for Use of the Two White Flint North (TWFN) Auditorium | |
629 | Authorization for Payment by Credit Card | |
653 | Transfers of Industrial Devices Report | |
662 | Award of Interagency Agreement | |
664 | General Licensee Registration | |
667 | Servicing Agency Project and Cost Proposal for NRC Work | |
740M | Concise Note | |
741 | Nuclear Material Transaction Report | |
742 | Material Status Report | |
742C | Physical Inventory Listing | |
748 | National Source Tracking Transaction Report (Long Form) | |
748A | National Source Tracking Transaction Report – Report Source Inventory | |
748B | National Source Tracking Transaction Report – Transfer Source | |
748C | National Source Tracking Transaction Report – Receive Source | |
748D | National Source Tracking Transaction Report – Dispose Source | |
748E | National Source Tracking Transaction Report – New Source Manufactured | |
748F | National Source Tracking Transaction Report – Import Source | |
748G | National Source Tracking Transaction Report – Export Source | |
748H | National Source Tracking Transaction Report – Disassemble Source | |
749 | Manual License Verification Report | 781 | SBCR Compliance Review Part A, Part B, and Part C |
782 | Complaint Form | |
787 | Freedom of Information Act – User Survey | |
790 | Classification Record | |
830 | Report of Import | |
830A | Report of Import Continuation Sheet | |
831 | Report of Export | |
831A | Report of Export Continuation Sheet | |
833 | Form to Propose a Generic Issue (GI) | |
835 | U. S. Nuclear Regulatory Commission Office of the Inspector General FAR Contractor Reporting Form |
IAEA Forms
Go to IAEA Form | Go to Info Sheet | Title of Form |
---|---|---|
IAEA - N71 | IAEA Design Information Questionnaire – All Facilities | |
IAEA - N72 | IAEA Design Information Questionnaire – Research and Power Reactors | |
IAEA - N73 | IAEA Design Information Questionnaire – Conversion and/or Fuel Fabrication Plants | |
IAEA - N74 | IAEA Design Information Questionnaire – Reprocessing Plants | |
IAEA - N75 | IAEA Design Information Questionnaire – Isotopic Enrichment Plants | |
IAEA - N76 | IAEA Design Information Questionnaire – Geological Repositories | |
IAEA - N77 | IAEA Design Information Questionnaire – Spent Fuel Encapsulation Plants | |
IAEA - N91 | IAEA Design Information Questionnaire – Information in Respect of Nuclear Material Outside Facilities | |
IAEA - N92 | IAEA Design Information Questionnaire – Research and Development Facilities – (Locations of Nuclear Material in Amounts Greater Than One Effective Kilogram) | |
IAEA - N93 | IAEA Design Information Questionnaire – Critical (Sub-Critical) Facilities | |
IAEA - N94 | IAEA Design Information Questionnaire – Separate Storage Installations |