The NRC Form 748 is an essential document for entities operating within the U.S. nuclear sector, specifically designed to facilitate rigorous oversight and regulation by the U.S. Nuclear Regulatory Commission. Crafted under the authority of the Office of Management and Budget (OMB), with an expiration date previously set for January 31, 2016, this form serves a pivotal role in maintaining the National Source Tracking System, a database critical for monitoring the whereabouts and status of sealed sources of nuclear materials. Each submission through the NRC Form 748, which estimates a 9.5-minute completion time, contributes to a national effort to ensure the safety, security, and proper handling of radioactive materials. The form encompasses a comprehensive spectrum of transaction types, ranging from new acquisitions and corrections to transfers, disposals, and imports or exports of nuclear sources. Licensees are tasked with providing detailed information not just about the transactions but also about the sources themselves — including make, model, and serial number, thereby laying a foundation for transparency and accountability in the handling of nuclear materials. Moreover, the instructions highlight the importance of accuracy in reporting, with explicit warnings about the potential civil and criminal penalties for false statements, underscoring the stringent regulatory environment within which nuclear materials are managed in the United States.
| Question | Answer |
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| Form Name | Nrc Form 748 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | national transaction report, nrc transaction report, nrc reporting form, nrc form 748b |
NRC FORM 748 |
U.S. NUCLEAR REGULATORY COMMISSION |
APPROVED BY OMB: NO. |
EXPIRES: 01/31/2016 |
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10 CFR 20.2207 |
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Estimated burden per response to comply with this mandatory information collection request: 9.5 minutes. NRC requires this information to |
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populate the National Source Tracking System for certain sealed sources. Send comments regarding burden estimate to the Records and |
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NATIONAL SOURCE TRACKING TRANSACTION REPORT |
FOIA/Privacy Services Branch |
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infocollects.resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, |
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Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid |
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OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection. |
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1. LICENSEE INFORMATION
A. LICENSEE NAME |
B. LICENSE NO. |
C. LICENSEE STREET ADDRESS |
D. CITY |
E. STATE |
F. ZIP CODE |
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2. TRANSACTION DATE |
3A. TRANSACTION INFORMATION |
3B. TRANSACTION TYPE (Check all that apply) |
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(Only transactions completed on the same |
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date may be reported together on this form) |
NEW |
CORRECTION |
REPORT SOURCE |
TRANSFER |
RECEIPT |
DISPOSAL |
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IF CORRECTION, PREVIOUS TRANSACTION DATE: |
INVENTORY |
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NEW SOURCE |
IMPORT |
EXPORT |
DISASSEMBLE |
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MANUFACTURED |
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4. PREPARER INFORMATION
A. NAME OF PREPARER
B. DATE PREPARED
C. PREPARER PHONE
D. PREPARER
9. NEW MANUFACTURED SOURCE DATA
A1. SOURCE MAKE
B1. SOURCE MODEL
C1. SOURCE SERIAL D1. ISOTOPE NUMBER
E1. ACTIVITY AND UNIT
F1. COMMENTS
G1. SOURCE LOCATION ADDRESS
H1. CITY
I1. STATE
J1. ZIP CODE
K1. SAME AS STREET ADDRESS
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 WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.
NRC FORM 748
NRC FORM 748 |
U.S. NUCLEAR REGULATORY COMMISSION |
LICENSEE NAME |
NATIONAL SOURCE TRACKING |
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10 CFR 20.2207 |
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TRANSACTION REPORT (continued) |
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9. NEW MANUFACTURED SOURCE DATA |
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LICENSE NO.
A2. SOURCE MAKE
G2. SOURCE LOCATION ADDRESS
A3. SOURCE MAKE
G3. SOURCE LOCATION ADDRESS
A4. SOURCE MAKE
G4. SOURCE LOCATION ADDRESS
A5. SOURCE MAKE
G5. SOURCE LOCATION ADDRESS
B2. SOURCE MODEL
H2. CITY
B3. SOURCE MODEL
H3. CITY
B4. SOURCE MODEL
H4. CITY
B5. SOURCE MODEL
H5. CITY
C2. SOURCE SERIAL D2. ISOTOPE |
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E2. ACTIVITY AND UNIT |
F2. COMMENTS |
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NUMBER |
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I2. STATE |
J2. ZIP CODE |
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K2. SAME AS |
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STREET ADDRESS |
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C3. SOURCE SERIAL D3. ISOTOPE |
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E3. ACTIVITY AND UNIT |
F3. COMMENTS |
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NUMBER |
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I3. STATE |
J3. ZIP CODE |
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K3. SAME AS |
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STREET ADDRESS |
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C4. SOURCE SERIAL D4. ISOTOPE |
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E4. ACTIVITY AND UNIT |
F4. COMMENTS |
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NUMBER |
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I4. STATE |
J4. ZIP CODE |
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K4. SAME AS |
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STREET ADDRESS |
F5. COMMENTS |
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C5. SOURCE SERIAL D5. ISOTOPE |
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E5. ACTIVITY AND UNIT |
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K5. SAME AS |
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I5. STATE |
J5. ZIP CODE |
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STREET ADDRESS |
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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 WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.
NRC FORM 748
INSTRUCTIONS TO NRC AND AGREEMENT STATE LICENSEES FOR REPORTING
The completed form is considered to be Official Use Only – Security Related Information; it is not considered to be Safeguards Information.
Use an addendum sheet for reporting additional sources.
Note to Licensees: This form may be used to report source transactions in lieu of using the NSTS online application. Sections
1.Licensee Information – Enter the name, license number, and street address of the licensed facility.
2.Transaction Date – Enter the date the transaction occurred, which would be the date of the transfer, receipt, manufacture, etc.
3.Transaction Information and Transaction Type – Indicate if this is a new transaction or a correction. For corrections, select the date of the previously submitted transaction that the correction should be associated with. Select the Transaction Type. Report Source should only be used for initial inventory submissions, or to report a source excluded from the initial inventory submission. Dispose Source should only be used by a Disposal Licensee. If you are sending your source back to the manufacturer, or sending it to a disposal facility, the transaction should be recorded as a Transfer. Multiple Transaction Types may be selected if they occur on the same Transaction Date.
4.Preparer Information – An email address is required for a confirmation. For regulatory purposes, your source transaction report is not considered complete without a confirmation from the NSTS Help Desk that the transaction report has been received.
5.Source Inventory Data – This section should only be used for initial inventory submissions. The Make, Model, and Serial Number refer to the Source, not the Device. All fields are required in Section 5 EXCEPT G. Comments. If the licensee is reporting multiple sources on the Source Inventory transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.
6.Source Transfer Data – For Transfer transaction reports, all fields in Section 6 are required EXCEPT M. Waste Manifest Number, N. Container ID, and P. Comments. If the licensee is reporting multiple sources on the Transfer transaction to the same Receiving Licensee, the receiving licensee information may be populated once, and referenced in the Comments block for the additional sources.
7.Source Receipt Data – For Receipt transaction reports, all fields in Section 7 are required EXCEPT M. Waste Manifest Number, N. Container ID, and T. Comments. If the licensee is reporting multiple sources on the Receipt transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.
8.Source Disposal Data – For Disposal transaction reports, all fields in Section 8 are required EXCEPT J. Comments. If the licensee is reporting multiple sources on the Disposal transaction at the same Source Disposal Address, the source disposal address information may be populated once, and referenced in the Comments block for the additional sources.
9.New Manufactured Source Data – For New Manufactured Source transaction reports, all fields in Section 9 are required EXCEPT F. Comments. If the licensee is reporting multiple sources on the Manufacturer transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.
10.Source Import Data – For Import Source transaction reports, all fields are required EXCEPT L. Comments. If the licensee is reporting multiple sources on the Import transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.
11.Source Export Data – For Export Source transaction reports, all fields are required EXCEPT M. Comments. If the licensee is reporting multiple sources on the Export transaction to the same Foreign Company/Foreign Address, the information in cells
12.Source Disassemble Data – For Disassemble Source transaction reports, all fields are required EXCEPT H. Comments. If the licensee is reporting multiple sources on the Disassemble transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.
DISTRIBUTION
For most timely processing, click the "Submit by Email" button on page 1. You may also:
>manually submit this form by email to: NSTSFax.Resource@nrc.gov,
>FAX to:
>mail to: NSTS Help Desk
30 West Gude Drive, Suite 300
Rockville, MD 20850