Standards Reference Materials (SRM) - Customer Satisfaction Data Collection

NIST Standard Reference Material (SRM) Registration System
NIST SRM Registration System

The NIST SRM Registration System allows you to receive notification of
any developments or updates to that product. Notification requires the
SRM user’s contact information.
This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of
Management and Budget (OMB). Notwithstanding any other provisions of the law, no person is required to respond
to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the
requirements of the PRA unless that collection of information displays a currently valid OMB control number.
Public reporting burden for this collection is estimated to be 7 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. Comments regarding this burden estimate or any aspect of this
collection of information, including suggestions for reducing this burden, may be sent to the following:
National Institute of Standards and Technology
Attn: Tracy Hayat
Office of Reference Materials
100 Bureau Drive, Stop 2300
Gaithersburg, MD 20899-2300
Tel: 301-975-2092 E-mail: [email protected]
**Disclaimer**
You are accessing a U.S. Government information system, which includes: 1) this computer, 2) this computer
network, 3) all computers connected to this network, and 4) all devices and storage media attached to this network
or to a computer on this network. You understand and consent to the following: you may access this information
system for authorized use only; you have no reasonable expectation of privacy regarding any communication of
data transiting or stored on this information system; at any time and for any lawful Government purpose, the
Government may monitor, intercept, and search and seize any communication or data transiting or stored on this
information system; and any communications or data transiting or stored on this information system may be
disclosed or used for any lawful Government purpose.

OMB Control No.: 0693-0031 OMB Expiration Date: August 31, 2024

NIST Standard Reference Material (SRM) Registration System
SRM User Contact Information

* NIST SRM User Information (Fields with an asterisk are required.)
*User First Name:
*User Surname:
*Organization/Compan
y:
*Address:
Address (continued):
*City:
*State/Province:
Postal Code:
*Country:

* Email Address (Required to be completed; field should contain an @ symbol and a period.)

NIST Standard Reference Material (SRM) Registration System
Fields with an asterisk (*) are required.

* Purchased directly from NIST?
Yes
No
Unkown

NIST Standard Reference Material (SRM) Registration System
Fields with an asterisk (*) are required.

* (1) NIST SRM Information
(1) SRM/RM Number:

(1) NIST SRM Information (continued)
(1) Lot Number (if
available):
(1) Serial Number (if
available):

(2) NIST SRM Information
(2) SRM/RM Number:

(2) NIST SRM Information (continued)
(2) Lot Number (if
available):
(2) Serial Number (if
available):

(3) NIST SRM Information
(3) SRM/RM Number:

(3) NIST SRM Information (continued)
(3) Lot Number (if
available):
(3) Serial Number (if
available):

NIST Standard Reference Material (SRM) Registration System
A (1) designates the first SRM you are registering. Fields with an asterisk (*) are
required.

* (1) NIST SRM Information (Required to be completed.)
(1) SRM/RM Number:

(1) NIST SRM Information (continued)
(1) Lot Number (if
available):
(1) Serial Number (if
available):

NIST Standard Reference Material (SRM) Registration System
A (1) designates the first SRM you are registering. Fields with an asterisk (*) are
required.

* (1) Purchased from (Company Name)

(1) Order Date (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (1) designates the first SRM you are registering. Fields with an asterisk (*) are
required.

* (1) Purchase Information (NIST)
(1) Order Date
(MM/DD/YYYY):
(1) NIST Sales Order:
(1) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (2) designates the second SRM you are registering. Fields with an asterisk (*)
are required.

* (2) NIST SRM Information
(2) SRM Number
Purchased:

(2) NIST SRM Information (continued)
(2) Lot Number (if
available):
(2) Serial Number (if
available):

* (2) Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (2) designates the second SRM you are registering. Fields with an asterisk (*)
are required.

* (2) Purchased from (Company Name)

(2) Order Date (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (2) designates the second SRM you are registering. Fields with an asterisk (*)
are required.

* (2) Purchase Information (NIST)
(2) Order Date
(MM/DD/YYYY):
(2) NIST Sales Order:
(2) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (3) designates the third SRM you are registering. Fields with an asterisk (*) are
required.

* (3) NIST SRM Information
(3) SRM Number
Purchased:

(3) NIST SRM Information (continued)
(3) Lot Number (if
available):
(3) Serial Number (if
available):

* (3) Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (3) designates the third SRM you are registering. Fields with an asterisk (*) are
required.

* (3) Purchased from (Company Name):

(3) Order Date (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (3) designates the third SRM you are registering. Fields with an asterisk (*) are
required.

* (3) Purchase Information (NIST)
(3) Order Date
(MM/DD/YYYY):
(3) NIST Sales Order:
(3) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (4) designates the fourth SRM you are registering. Fields with an asterisk (*) are
required.

* (4) NIST SRM Information
(4) SRM Number
Purchased:

(4) NIST SRM Information (continued)
(4) Lot Number (if
available):
(4) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (4) designates the fourth SRM you are registering. Fields with an asterisk (*) are
required.

* (4) Purchased from (Company Name)

(4) Order Date (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (4) designates the fourth SRM you are registering. Fields with an asterisk (*) are
required.

* (4) Purchase Information (NIST)
(4) Order Date
(MM/DD/YYYY):
(4) NIST Sales Order
Number:
(4) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (5) designates the fifth SRM you are registering. Fields with an asterisk (*) are
required.

* (5) NIST SRM Information
(5) SRM Number
Purchased:

(5) NIST SRM Information (continued)
(5) Lot Number (if
available):
(5) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (5) designates the fifth SRM you are registering. Fields with an asterisk (*) are
required.

* (5) Purchased from (Company Name):

(5) Order Date (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (5) designates the fifth SRM you are registering. Fields with an asterisk (*) are
required.

* (5) Purchase Information (NIST)
(5) Order Date
(MM/DD/YYYY):
(5) NIST Sales Order
Number:
(5) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (6) designates the sixth SRM you are registering. Fields with an asterisk (*) are
required.

* (6) NIST SRM Information
(6) SRM Number
Purchased:

(6) NIST SRM Information (continued)
(6) Lot Number (if
available):
(6) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (6) designates the sixth SRM you are registering. Fields with an asterisk (*) are
required.

* (6) Purchased from (Company Name):

* (6) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (6) designates the sixth SRM you are registering. Fields with an asterisk (*) are
required.

* (6) Purchase Information (NIST)
(6) Order Date
(MM/DD/YYYY):
(6) NIST Sales Order
Number:
(6) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (7) designates the seventh SRM you are registering. Fields with an asterisk (*)
are required.

* (7) NIST SRM Information
(7) SRM Number
Purchased:

(7) NIST SRM Information (continued)
(7) Lot Number (if
available):
(7) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (7) designates the seventh SRM you are registering. Fields with an asterisk (*)
are required.

* (7) Purchased from (Company Name):

* (7) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (7) designates the seventh SRM you are registering. Fields with an asterisk (*)
are required.

* (7) Purchase Information (NIST)
(7) Order Date
(MM/DD/YYYY):
(7) NIST Sales Order
Number:
(7) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (8) designates the eighth SRM you are registering. Fields with an asterisk (*) are
required.

* (8) NIST SRM Information
(8) SRM Number
Purchased:

(8) NIST SRM Information (continued)
(8) Lot Number (if
available):
(8) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (8) designates the eighth SRM you are registering. Fields with an asterisk (*) are
required.

* (8) Purchased from (Company Name):

* (8) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (8) designates the eighth SRM you are registering. Fields with an asterisk (*) are
required.

* (8) Purchase Information (NIST)
(8) Order Date
(MM/DD/YYYY):
(8) NIST Sales Order
Number:
(8) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (9) designates the ninth SRM you are registering. Fields with an asterisk (*) are
required.

* (9) NIST SRM Information
(9) SRM Number
Purchased:

(9) NIST SRM Information (continued)
(9) Lot Number (if
available):
(9) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (9) designates the ninth SRM you are registering. Fields with an asterisk (*) are
required.

* (9) Purchased from (Company Name):

* (9) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (9) designates the ninth SRM you are registering. Fields with an asterisk (*) are
required.

* (9) Purchase Information (NIST)
(9) Order Date
(MM/DD/YYYY):
(9) NIST Sales Order
Number:
(9) Customer Purchase
Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (10) designates the tenth SRM you are registering. Fields with an asterisk (*) are
required.

* (10) NIST SRM Information
(10) SRM Number
Purchased:

(10) NIST SRM Information (continued)
(10) Lot Number (if
available):
(10) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (10) designates the tenth SRM you are registering. Fields with an asterisk (*) are
required.

* (10) Purchased from (Company Name):

* (10) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (10) designates the tenth SRM you are registering. Fields with an asterisk (*) are
required.

* (10) Purchase Information (NIST)
(10) Order Date
(MM/DD/YYYY):
(10) NIST Sales Order
Number:
(10) Customer
Purchase Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (11) designates the eleventh SRM you are registering. Fields with an asterisk (*)
are required.

* (11) NIST SRM Information
(11) SRM Number
Purchased:

(11) NIST SRM Information (continued)
(11) Lot Number (if
available):
(11) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (11) designates the eleventh SRM you are registering. Fields with an asterisk (*)
are required.

* (11) Purchased from (Company Name):

* (11) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (11) designates the eleventh SRM you are registering. Fields with an asterisk (*)
are required.

* (11) Purchase Information (NIST)
(11) Order Date
(MM/DD/YYYY):
(11) NIST Sales Order
Number:
(11) Customer
Purchase Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (12) designates the twelfth SRM you are registering. Fields with an asterisk (*)
are required.

* (12) NIST SRM Information
(12) SRM Number
Purchased:

(12) NIST SRM Information (continued)
(12) Lot Number (if
available):
(12) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (12) designates the twelfth SRM you are registering. Fields with an asterisk (*)
are required.

* (12) Purchased from (Company Name):

* (12) Order Date: (If not known, please approximate with the month and year.)

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (12) designates the twelfth SRM you are registering. Fields with an asterisk (*)
are required.

* (12) Purchase Information (NIST)
(12) Order Date
(MM/DD/YYYY):
(12) NIST Sales Order
Number:
(12) Customer
Purchase Order:

* Would you like to register another NIST SRM?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (13) designates the thirteenth SRM you are registering. Fields with an asterisk
(*) are required.

* (13) NIST SRM Information
(13) SRM Number
Purchased:

(13) NIST SRM Information (continued)
(13) Lot Number (if
available):
(13) Serial Number (if
available):

* Purchased directly from NIST?
Yes
No

NIST Standard Reference Material (SRM) Registration System
A (13) designates the thirteenth SRM you are registering. Fields with an asterisk
(*) are required.

* (13) Purchased from (Company Name):

* (13) Order Date: (If not known, please approximate with the month and year.)

*
You have reached your SRM limit for this registration form. Click "Submit Registration" and
then click "Continue" to confirm and complete your registration. If you have additional SRMs
to register, please open up a new registration form. The SRM Registration System link is
provided on the next page.
Submit Registration

NIST Standard Reference Material (SRM) Registration System
A (13) designates the thirteenth SRM you are registering. Fields with an asterisk
(*) are required.

* (13) Purchase Information (NIST)
(13) Order Date
(MM/DD/YYYY):
(13) NIST Sales Order
Number:
(13) Customer
Purchase Order:

NIST Standard Reference Material (SRM) Registration System
Copy of page: A (13) designates the thirteenth SRM you are registering. Fields with
an asterisk (*) are required.

*
You have reached your SRM limit for this registration form. Click "Submit Registration" and
then click "Submit" to confirm and complete your registration. If you have additional SRMs to
register, please open up a new registration form. The SRM Registration System link is
provided on the next page.
Submit Registration