NRC Form 396, Certification of Medical Examination by Facility Licensee

ICR 202303-3150-002

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3150-0024 can be found here:

Forms and Documents

Document Name	Status
Form NRC Form 396 NRC Form 396, Certification of Medical Examination by Facility Licensee Form and Instruction	Modified
Nonsubstantive Change Request for Form 396 (Instructions).docx Justification for No Material/Nonsubstantive Change	2023-03-13

IC Document Collections

IC ID	Document Title	Status
33230	NRC Form 396, Certification of Medical Examination by Facility Licensee Form and Instruction	Modified

ICR Details