DOE/NRC-F-749 US Department of Energy ADP Transcription Sheet Internal

Security

749

Security

OMB: 1910-1800

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DOE F DP-749
(09-98) Previous editions
are obsolete.
MANDATORY DATA
COLLECTION AUTHORIZED
BY Public Laws 83-703.
93-438

U.S. DEPARTMENT OF ENERGY

POSTED BY
JOB NAME

ADP TRANSCRIPTION SHEET
INTERNAL PROJECT TRANSFERS

FIELD OFFICE

(See instructions for provisions regarding confidentiality.)

Public reporting burden for this collection of information is estimated to average 30 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to
Information, Records, and Resource Management, HR-41 - GTN, Paperwork Reduction Project (1910-1800),
U.S. Department of Energy, 1000 Independence Avenue, S.W., Washington, DC 20585; and to the Office of
Management and Budget (OMB), Paperwork Reduction Project (1910-1800), Washington, DC 20503.

OMB Control No.
1910-1800
PAGE

OF

DATE

1

2

3

4

5

6

7

8

DATA
CODE

TRAN.
CODE
ACT.
CODE

INTERNAL
TRANSACTION
NUMBER

RECEIVER
RIS

PROC.
CODE

SHIPPER
RIS

CORR.
NO.

HEADER CARDS:
NO.
OF
LINES

SEALED SOURCE
SERIAL NUMBER

ACTION DATE

CONTRACT/IDENTIFICATION
NUMBER

MO.

DAY

YR.

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80

P 1
P 1
P 1
P 1
P 1
P 1
P 1
P 1

1

2

3

4

5

6

7

8

LINE
NO.

FROM
PROJECT NUMBER

FROM
COMP.
CODE

TO
PROJECT NUMBER

TO
COMP.
CODE

MT

OWNER
CODE

DATA
CODE

ACT.
CODE

TRAN.
CODE
PROC.
CODE

INTERNAL
TRANSACTION
NUMBER

RECEIVER
RIS

CORR.
NO.

DETAIL CARDS:
SHIPPER
RIS

ELEMENT
WEIGHT

WEIGHT %
ISOTOPE

ISOTOPE
WEIGHT

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G

P 2

G
18 U.S.C. SECTION 1001; ACT OF JUNE 25, 1948; 62 STAT. 749; MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT
OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.
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