Form NRC Form 833 NRC Form 833 Form to Propose a Generic Issue

NRC FORM 833
(MM-DD-YYYY)

U. S. NUCLEAR REGULATORY COMMISSION

Form to Propose a
Generic Issue (GI)

APPROVED BY OMB: NO. 3150-XXXX

EXPIRES: (MM/DD/YYYY)

Estimated burden per response to comply with this voluntary collection request: 1 hour. The form provides the necessary information in a focused
manner, to submit a potential generic safety issue affecting more than one nuclear facility. Send comments regarding burden estimate to the FOIA,
Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by email to
[email protected], and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-XXXX), Attn: Desk Officer for
the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503. The NRC may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control
number.

Name of Person Submitting Request

Email Address

Telephone Number (Enter 10 numeric digits)

Mailing Address

Date of Request

GENERAL INSTRUCTIONS FOR COMPLETING AND SUBMITTING THIS FORM.
The Generic Issues Program is managed by the Regulatory Guide and Programs Management Branch in the Office of Nuclear
Regulatory Research. The NRC staff and members of the public should fill out this form, then either email it to
[email protected], or send it by US Mail to the US Nuclear Regulatory Commission, Generic Issues Program, Washington,
DC 20555-0001, Mail Stop C-2C07M.
The proposer should review NRC Management Directive 6.4, as well as the generic issues website to understand the criteria that
will be used by staff to screen a proposed issue.
NRC Public Website: https://www.nrc.gov/about-nrc/regulatory/gen-issues/faqs.html
Website for NRC staff: https://www.nrc.gov/about-nrc/regulatory/gen-issues.html
Contact the [email protected] for assistance in responding to the entries on the form below if needed.
If you believe an issue is an immediate safety concern, or identifies an inadequacy associated with NRC regulated activities at a
licensee or other regulated party, you should instead report the issue through the procedures listed under "Report a Safety or
Security Concern" found at: https://www.nrc.gov/about-nrc/regulatory/allegations/safety-concern.html.
1. Describe the situation, condition, cause and significance of occurrence or adverse consequence by providing as much detail as practical. Identify the current
regulatory requirements or guidance or describe why this proposed issue is not addressed by existing regulations and guidance. Provide a basis for your statements if
available or indicate that it is your opinion or belief, as applicable.

2. Describe why the issue should be processed as a GI. Please provide your input on the following: The issue can have its risk or safety significance adequately
determined or estimated; issue may affect public health, safety, common defense and security, or environment; issue applies to two or more plants; issue is not being
addressed by other regulatory processes; issue will likely result in actions by licensees; or issues may result in new or revised regulation, policy, or guidance.

3. Identify source(s) of information or references for the proposed GI (self, NRC process, research, other).