Nrc Form 244 PDF Details

Are you looking to understand what a Form NRC 444 is and how it affects your business decisions? You are not alone - managing and understanding the paperwork related to radiation safety can be daunting, especially for busy operations. In this blog post, we'll cover exactly what an NRC Form 244 entails and explain why diligent attention to the details of this form are critical for minimizing radiological hazards in workplaces that utilize radiation-emitting devices. We'll also break down who must submit Forms 244 or their equivalents, as well as what information should appear on them. Feel free to read through our full breakdown here!

QuestionAnswer
Form NameNrc Form 244
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnrc244 form 244

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NRC FORM 244

U.S. NUCLEAR REGULATORY COMMISSION

(01-2013)

10 CFR 40

REGISTRATION CERTIFICATE --

USE OF DEPLETED

URANIUM UNDER GENERAL LICENSE

APPROVED BY OMB: NO. 3150-0031

EXPIRES: 01/31/2016

Estimated burden per response to comply with this mandatory collection request: 1 hour. NRC requires this information to identify the general licensee and to facilitate subsequent communication. Send comments regarding burden estimate to the Information Services Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to Infocollects. Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0031), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

Section 40.25 of 10 CFR Part 40 establishes a general license authorizing the use of depleted uranium contained in industrial products or devices for mass-volume applications. Submit NRC form 244 within 30 days after the first receipt or acquisition of such depleted uranium.

1.INSTRUCTIONS:

A. Print or type the name and address of the registrant (including ZIP Code) for whom this form is filed in Box 3 below.

B. Submit this form in duplicate to:

Director, Office of Federal and State Materials and Environmental Management Programs

U. S. Nuclear Regulatory Commission Washington, DC 20555-0001

with a copy to the appropriate Regional Administrator at the address listed on the reverse.

(NRC will assign a file number, and a copy of this form will be returned to you.)

2.I hereby file NRC Form 244 pursuant to 10 CFR 40.25, for use of depleted uranium contained in industrial products or devices for mass-volume applications.

3.NAME AND ADDRESS OF REGISTRANT FOR WHOM THIS FORM IS FILED (Include Zip Code)

4. FILE NUMBER (Leave blank - to be assigned by NRC)

5.INDIVIDUAL DULY AUTHORIZED TO ACT FOR AND ON BEHALF OF THE REGISTRANT IN SUPERVISING THE PROCEDURES

A. NAME

B. TITLE

C. ADDRESS

D. TELEPHONE NUMBER

E. FACSIMILE TELEPHONE NUMBER

F. E-MAIL ADDRESS

6. CERTIFICATION

I hereby certify that:

A.All information in this registration certificate is true and complete.

B.This registrant has developed and will maintain procedures designed to establish physical control over the depleted uranium described in 10 CFR 40.25(a) and designed to prevent transfer of such depleted uranium in any form, including metal scrap, to persons not authorized to receive the depleted uranium.

C.I understand that Commission regulations require that any changes in information furnished by a registrant on this registration certificate be reported in writing to the Director, Office of Federal and State Materials and Environmental Management Programs, with a copy to the appropriate Regional Administrator at the address listed on the reverse, within 30 days after the effective date of such change.

D.I understand that the registrant is required to comply with the provisions of Section 40.25 of the NRC's regulation 10 CFR Part 40 (reprinted on the reverse side of this form) with respect to all depleted uranium which the registrant receives, acquires, uses, or transfers under the general license for which this registration certificate is filed with the U. S. Nuclear Regulatory Commission.

E. PRINTED OR TYPED NAME AND TITLE OF PERSON FILING FORM

F. SIGNATURE

G. DATE

WARNING: FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS. 18 U.S.C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.

NRC FORM 244 (01-2013)

REGIONAL ADDRESSES

REGION IF YOU ARE LOCATED IN

ADDRESS

REGION IF YOU ARE LOCATED IN

ADDRESS

IALABAMA, CONNECTICUT,

and

DELAWARE, DISTRICT OF

 

IICOLUMBIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS,

NEW HAMPSHIRE, NEW JERSEY, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, AND WEST VIRGINIA

REGIONAL ADMINISTRATOR REGION I

U.S. NUCLEAR REGULATORY COMMISSION 2100 RENAISSANCE BOULEVARD, SUITE 100 KING OF PRUSSIA, PA 19406-2713

IV ALASKA, ARIZONA, ARKANSAS,

CALIFORNIA, COLORADO,

HAWAII, IDAHO, KANSAS,

LOUISIANA, MISSISSIPPI, NEBRASKA, NEVADA,

NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, AND WYOMING

REGIONAL ADMINISTRATOR REGION IV

U.S. NUCLEAR REGULATORY COMMISSION 1600 E. LAMAR BOULEVARD ARLINGTON, TX 76011-4125

III

ILLINOIS, INDIANA, IOWA,

REGIONAL ADMINISTRATOR

 

MICHIGAN, MINNESOTA, MISSOURI,

REGION III

 

OHIO, AND WISCONSIN

U.S. NUCLEAR REGULATORY COMMISSION

 

 

2443 WARRENVILLE ROAD, SUITE 210

 

 

LISLE, IL 60532-4352

10 CFR 40.25

§40.25 General license for use of certain industrial products or devices.

(a)A general license is hereby issued to receive, acquire, possess, use, or transfer, in accordance with the provisions of paragraphs (b), (c), (d), and (e) of this section, depleted uranium contained in industrial products or devices for the purpose of providing a concentrated mass in a small volume of the product or device.

(b)The general license in paragraph (a) of this section applies only to industrial products or devices which have been manufactured or initially transferred in accordance with a specific license issued pursuant to §40.34(a) of this part or in accordance with a specific license issued by an Agreement State which authorizes manufacture of the products or devices for distribution to persons generally licensed by the Agreement State.

(c)(1) Persons who receive, acquire, possess, or use depleted uranium pursuant to the general license established by paragraph (a) of this section shall file NRC Form 244, "Registration Certificate--Use of Depleted Uranium Under General License," with the Director, Office of Federal and State Materials and Environmental Management Programs, by an appropriate method listed in §40.5, with a copy to the appropriate NRC Regional Administrator. The form shall be submitted within 30 days after the first receipt or acquisition of such depleted uranium. The registrant shall furnish on NRC Form 244 the following information and such other information as may required by that form:

(i)Name and address of the registrant;

(ii)A statement that the registrant has developed and will maintain procedures designed to establish physical control over the depleted uranium described in paragraph (a) of this section and designed to prevent transfer of such depleted uranium in any form, including metal scrap, to persons not authorized to receive the depleted uranium; and

(iii)Name and/or title, address, and telephone number of the individual duly authorized to act for and on behalf of the registrant in supervising the procedures identified in paragraph (c)(1)(ii) of this section.

(2)The registrant possessing or using depleted uranium under the general license established by paragraph (a) of this section shall report, in writing to the

Director, Office of Federal and State Materials and Environmental Management Programs, with a copy to the Regional Administrator of the appropriate U.S. Nuclear Regulatory Commission Regional Office listed in Appendix D of Part 20 of this chapter, any changes in information furnished by him in the NRC Form 244, "Registration Certificate--Use of Depleted Uranium Under General License."

The report shall be submitted within 30 days after the effective date of such change.

(d)A person who receives, acquires, possesses, or uses depleted uranium pursuant to the general license established by paragraph (a) of this section:

(1)Shall not introduce such depleted uranium, in any form, into a chemical, physical, or metallurgical treatment or process, except a treatment or process for repair or restoration of any plating or other covering of the depleted uranium.

(2)Shall not abandon such depleted uranium.

(3)Shall transfer or dispose of such depleted uranium only by transfer in accordance with the provisions of 40.51 of this part. In the case where the transferee receives the depleted uranium pursuant to the general license established by paragraph (a) of this section, the transferor shall furnish the transferee a copy of this section and a copy of NRC form 244.

In the case where the transferee receives the depleted uranium pursuant to a general license contained in an Agreement State's regulation equivalent to this section, the transferor shall furnish the transferee a copy of this section and a copy of NRC Form 244 accompanied by a note explaining that use of the product or device is regulated by the Agreement State under requirements substantially the same as those in this section.

(4)Within 30 days of any transfer, shall report in writing to the Director, Office of Federal and State Materials and Environmental Management Programs, with a copy to the Regional Administrator of the appropriate U.S. Nuclear Regulatory Commission Regional Office listed in Appendix D of Part 20 of this chapter, the name and address of the person receiving the source material pursuant to such transfer.

(e)Any person receiving, acquiring, possessing, using, or transferring depleted uranium pursuant to the general license established by paragraph (a) of this section is exempt from the requirements of Parts 19, 20, and 21 of this chapter with respect to the depleted uranium covered by that general license.

NRC FORM 244 (01-2013)

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Filling out section 1 in Nrc Form 244

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WARNING FALSE STATEMENTS IN THIS, NRC FORM, and F SIGNATURE inside Nrc Form 244

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