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
417-836-3737
Secondary Contact
Frank Einhellig, Provost
CARR 209
417-836-5119
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.