NRC Form 313A(ANP) - Authorized Nuclear Pharmacist Training, Experience, and Preceptor Attestation [10 CFR 35.55]

Form Number: NRC Form 313A(ANP)
Form Title: Authorized Nuclear Pharmacist Training, Experience, and Preceptor Attestation [10 CFR 35.55]
Current Edition: 07-31-2023
Authority Directive or Regulation: 10 CFR 35
Form Status: Approved by OMB: 3150-0120, Expires: 07/31/2026
Special Instructions:

Send Completed Application for Distribution of Exempt Products to:

Materials Safety and Tribal Liaison Branch
Division of Materials Safety, Security, State and Tribal Programs
Office of Nuclear Materials Safety and Safeguards
U.S. Nuclear Regulatory Commission
Washington, DC 20555-0001
For Questions: E-mail: LBLicensingAssistant.Resource@nrc.gov
 

If you are located in:
Alabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Kentucky, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, Virgin Islands, or West Virginia:

Licensing Assistance Team
Division of Radiological Safety and Security
U.S. Nuclear Regulatory Commission, Region I
475 Allendale Road, Suite 102
King of Prussia, PA  19406-1415
R1DRSSMail.Resource@nrc.gov
 

If you are located in:
Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio, or Wisconsin:

Materials Licensing Branch
Division of Radiological Safety and Security
U.S. Nuclear Regulatory Commission, Region III
2443 Warrenville Road, Suite 210
Lisle, IL  60532-4352
R3-DRSSMail.Resource@nrc.gov
 

If you are located in:
Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Kansas, Louisiana, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, Pacific Trust Territories, South Dakota, Texas, Utah, Washington, or Wyoming.

Materials Licensing Branch
Division of Radiological Safety and Security
U.S. Nuclear Regulatory Commission, Region IV
1600 E. Lamar Boulevard
Arlington, TX 76011-4511
R4licensing@nrc.gov
 

PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S. NUCLEAR REGULATORY COMMISSION JURISDICATION.

Agreement and Non-Agreement States

Page Last Reviewed/Updated Tuesday, August 01, 2023