Federally Mandated Reporting/Disclosure Form

Program Title & Description

US Nuclear Regulatory Commission (NRC) Materials License

Who is Responsible for Reporting?

Primary Contact

Frank Einhellig, Associate Provost for Research and Graduate Studies: CARR 306, 836-5335, frankeinhellig@missouristate.edu

Secondary Contact

Erin Parrish, Director of Research Compliance: CARR 451, 836-4132, erinparrish@missouristate.edu

Where is Report Physically Located?

CARR 451

What Should be Reported?

• Licensee Information
• Radioactive Material (type, form, and maximum quantities)
• Purpose of Radioactive Material
• Authorized Users of Radioactive Material
• Radiation Safety Program

When Should it be Reported?

Every 10 years

Next expiration date:  June 30, 2016

Where is it to be Reported?

US Nuclear Regulatory Commission

Region III

2443 Warrenville Road, Suite 210

Lisle, Illinois  60532-4352

Why Should it be Reported?

To comply with Nuclear Regulatory Commission regulations

How is it Reported?

By mail, using NRC Form 313

If Notification is Required, How is it Reported?

If any of the information provided in the original application is to be modified or changed, an application for a license amendment must be submitted before the change takes place. 

 

 

 

LAST SUBMISSION – August 2008