Paperwork Reduction Act Statement
OMB NO. 3150-0242 EXPIRES: 11/30/2022. The estimated burden to respond to this voluntary information collection is 20 minutes. This collection is a voluntary effort to gather financial data to determine if a change to the Title 10 CFR § 2.810, “NRC Size Standards” is needed. Send comments regarding the burden estimate to the Information Services Branch, 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, (3150-0242), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person not required to respond to, the information collection.

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* 1. Please provide the following information:

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* 2. If the organization listed above is a subsidiary or division or another company, please provide the following information for the parent company.

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* 3. Is the license held by a governmental entity that is non-federal?

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* 4. What is the size of the supporting population in the licensee's jurisdiction?  (e.g., for state supported schools, the supporting population is the state's population; for a county it is the county's population; for a city, it is the state's population residing in the city limits) (Please select the appropriate range.)

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* 5. What was the average number of person employer by yours (the licensee's) organization during your previous fiscal year?  Any you person on the payroll must be included as one employee regardless of the number of hours worked or temporary status.

Licensees operating as a subsidiary of a larger company or a group medical  practice should provide employment figures for the larger organization's entire operations, including the parent company and all other affiliates.  Affiliation with another business concern is based on the power to control, whether exercised or not.   Such factors as common ownership, common management and identity of interest, among others, are indicators of affiliation.  The affiliated business concerns need not be in the same line of business listed in the NRC license.

Please select the range which corresponds to the average number of employees over the 12 months of the organization's 2017 fiscal year.

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* 6. What were your (the licensee's) total average annual receipts for the last three years?

For the purposes of this question, receipts include all revenue, in whatever form received or accrued from any sources (e.g. sales, interest income, income from dividends, etc.), and not solely receipts from licensed activities.  Receipts should exclude returns and allowances, sales tax collected and remitted to a governmental sales tax authority, and sales of capital assets (such as selling the firm's building or its production machinery).  Please do not deduct income taxes, property taxes and cost of materials or funds paid to subcontractors.

Licensees operating as a subsidiary of a larger company or a group medical practice should provide receipt information for the larger organization's entire operations, including the parent company and all other affiliates.  Affiliation with another business concern is based on the power to control, whether exercised or not.  Such factors as common ownership, common management and identity of interest, among others, are indicators of affiliation.  The affiliated business concerns need not be in the same line of business listed in the NRC license.

Please choose the appropriate range which corresponds to the organization's annual receipts for the 2017 fiscal year. 

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* 7. Do you know your organization's primary 6-digit NAICS Code(s)?

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* 8. Please provide your organization's primary 6-digit North American Industry Classification System (NAICS) business Code(s).  Note: Some organizations have more than one NAICS Code.  If your organization has several NAICS codes, please provide only the top of the column.  (The most predominant NAICS codes will be the one with the highest production value associated with it.)

Licensees operating as a subsidiary or division of a larger company should provide NAICS codes for the parent company.

List your NAICS Codes below:

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* 9. ****All Respondents Should Answer The Following Question****
Which of the following best describes your organization?

0 of 9 answered
 

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