US Nuclear Regulatory Commission (NRC) Materials License

Federally Mandated Reporting/Disclosure Form

Program Title & Description

US Nuclear Regulatory Commission (NRC) Materials License

Who is Responsible for Reporting?

Primary Contact

Johnna Pedersen--Senior Research Scientist (Radiation Safety Officer)
JVIC 112

Secondary Contact

Frank Einhellig, Provost
CARR 209

Where is Report Physically Located?

JVIC 112

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: November 30, 2026

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.