Get the free NRC Form 136 Security Termination Statement - pbadupws nrc
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NOTE There is no record keeping requirement for contractors/licensees to maintain a copy of the NRC Form 136. The NRC Form 136 Security Termination Statement is an integral part of these termination of access authorization procedures. 17 a and 10 CFR 2. 390 b. Justification for Sensitive Questions. There is no sensitive information requested on the NRC Form 136. Estimate of Other Additional Costs The estimated annual cost to the Federal Governmen...
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How to fill out nrc form 136 security
How to fill out NRC Form 136 Security Termination Statement
01
Obtain NRC Form 136 from the NRC website or your facility's regulatory compliance office.
02
Fill out Section A with your personal information, including name, address, and contact details.
03
Provide your employee identification number or license number in Section B.
04
In Section C, specify the reason for termination, such as retirement, resignation, or completion of employment.
05
If applicable, complete Section D with details on how your security access will be terminated.
06
Review the form for completeness and accuracy.
07
Sign and date the form in Section E.
08
Submit the completed form to the designated NRC representative or your facility’s security office.
Who needs NRC Form 136 Security Termination Statement?
01
Former employees of organizations licensed by the NRC who have had access to classified or sensitive information.
02
Individuals who require a formal record of security access termination after leaving a position.
03
Employers needing documentation for compliance with NRC regulations regarding security clearance termination.
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People Also Ask about
What is NRC security?
In response, the Nuclear Regulatory Commission (NRC) was established in 1974. Its mission included ensuring public health and safety by regulating civilian use of nuclear materials. The purpose of these regulations is multifaceted. Primarily, they aim to protect nuclear facilities from unauthorized access and sabotage.
What is the purpose for NRC Form 3 notice to employees?
The U.S. Nuclear Regulatory Commission (NRC) is announcing the availability of the latest version of NRC Form 3, “Notice to Employees.” The NRC Form 3 describes certain responsibilities and rights of employers and employees who engage in NRC-regulated activities, including how employees can report violations or other
What are Category 3 sources NRC?
Category 3 sources, if not safely or securely managed, could cause permanent injury to a person who handled them or was otherwise in contact with them for hours. It could possibly—although it is unlikely to—be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks.
What is the purpose of employment forms what types of forms do employees need to fill out?
Employee's eligibility to work in the United States Employer must verify the identity and employment authorization of individuals hired for employment in the United States. Employer use Form I-9, Employment Eligibility Verification PDF, for this purpose.
What is the main purpose of the NRC?
The NRC licenses and regulates the Nation's civilian use of radioactive materials, to provide reasonable assurance of adequate protection of public health and safety, to promote the common defense and security, and to protect the environment.
What does the NRC Form 3 describe?
The U.S. Nuclear Regulatory Commission (NRC) is announcing the availability of the latest version of NRC Form 3, “Notice to Employees.” The NRC Form 3 describes certain responsibilities and rights of employers and employees who engage in NRC-regulated activities, including how employees can report violations or other
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What is NRC Form 136 Security Termination Statement?
NRC Form 136 is a document required by the Nuclear Regulatory Commission (NRC) to formally notify the termination of an individual's access to classified information or unescorted access to restricted areas as part of the security clearance process.
Who is required to file NRC Form 136 Security Termination Statement?
Employers or organizations that have granted security clearances or access to individuals in roles related to nuclear materials or facilities are required to file NRC Form 136 when the individual's access is terminated.
How to fill out NRC Form 136 Security Termination Statement?
To fill out NRC Form 136, the responsible official must include the individual's name, social security number, the reason for termination, and the effective date of termination, along with any applicable signature and date.
What is the purpose of NRC Form 136 Security Termination Statement?
The purpose of NRC Form 136 is to officially document and communicate the termination of an individual's security clearance or access, ensuring that the NRC is informed for regulatory compliance and security purposes.
What information must be reported on NRC Form 136 Security Termination Statement?
NRC Form 136 must report the individual's full name, social security number, the effective date of access termination, the reason for termination, and the submission's signatory details.
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