ML20164A211

OMB 3150-0244 New NRC Online Form, Request for Alternative Uneer 10 CFR Part 50.55a(z)(1) and (2) - Licensee Intake Form

ML20164A211
Person / Time
Issue date:	06/19/2020
From:	Division of Operating Reactor Licensing
To:	NRC/OCIO
Shared Package
ML20164A202	List: ML20164A205 ML20164A209 ML20164A211 ML20196L745
References
NRC-2020-0144, OMB 3150-0244
Download: ML20164A211 (7)

Text

Request for Alternative under 10 CFR 50.55a(z)(1)and 10 CFR 50.55a(z)(2)

Consistent with the NRC regulations, please provide required copies to state and other government agencies, and the NRC regional office.

APPROVED BY OMB NO. Expiration Date:

Estimated burden per response to comply with this collection request: 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />. This form is used to submit COVID-19 related requests for an exemption from certain requirements in 10 CFR Part 50.55a. Send comments regarding burden estimate to the Information Services Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov. and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202 (3150-0018), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a current valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

• Required Application Title of Project:

• 1.

Enter your answer Licensee:

• 2.

Enter your answer Licensee

Contact:

3.

Enter your answer Licensee Contact Phone Number:

• 4.

Enter your answer Please enter the email address for which you would like to receive communications regarding this request.

Licensee Contact Email Address:

• 5.

Enter your answer Plant Identification Number (PIN):

• 6.

Enter your answer Plant Name:

7.

Select your answer

Plant Unit(s):

8.

1 2

3 4

Example: 05000313 Docket Number(s):

9.

Enter your answer Example: DPR-51 License Number(s):

10.

Enter your answer Requested Completion Date:

11.

Please input date in format of M/d/yyyy

Applicable Regulation and Inservice Inspection (ISI) or Inservice Testing (IST):

12.

10 CFR 50.55a(z)(1) ISI 10 CFR 50.55a(z)(1) IST 10 CFR 50.55a(z)(2) ISI 10 CFR 50.55a(z)(2) IST Proposed Alternative Number or Identifier:

13.

Enter your answer Applicable American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel (BPV)

Code, or ASME Operations and Maintenance (OM) Code, Edition and Addenda:

14.

Enter your answer ISI or IST Program Interval Number and start/end dates (as applicable):

15.

Enter your answer ASME Code Class:

16.

Enter your answer Applicable Components and/or System Description (if applicable):

17.

Enter your answer Describe the Applicable Code Requirements:

18.

Enter your answer

Reason for Request

19.

Enter your answer

Brief Description of the Proposed Alternative (500 characters or less):

20.

Enter your answer Full Description of the Proposed Alternative:

21.

Enter your answer If needed, include additional information for Question 20:

22.

Enter your answer Description of the Basis for Use:

23.

Enter your answer If needed, include additional information for Question 22:

24.

Enter your answer

If requesting an alternative based on 10 CFR 50.55a(z)(2), describe hardship or unusual difficulty without compensating increase in the level of quality and safety associated with compliance with applicable code requirement. For requests under 10 CFR 50.55a(z)(1), leave this section blank.

25.

Enter your answer Proposed duration of the alternative:

26.

Enter your answer Include any additional information, as necessary:

27.

Enter your answer Precedents (optional):

28.

Enter your answer

References:

29.

Enter your answer Do you have attachments?

• 30.

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