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.
Document Name |
---|
Form and Instruction |
Supplementary Document |
Supporting Statement A |
Approved without change |
Extension without change of a currently approved collection | 2022-08-19 | |
Approved with change |
New collection (Request for a new OMB Control Number) | 2019-07-11 |