NRC Form 176 - Security Acknowledgment and Termination Statement

OMB 3150-0239

OMB 3150-0239

The NRC Form 176, “Security Acknowledgment and Termination Statement” is completed by employees, licensees and contractors in connection with the termination of their access authorization/security clearance granted by the NRC and to acknowledgment and accept their continuing security responsibility.

The latest form for NRC Form 176 - Security Acknowledgment and Termination Statement expires 2022-10-31 and can be found here.


© 2024 OMB.report | Privacy Policy