Annual Self-Assessment for Insider Threat Program (ITP)

Email Template for Insider Threat Program Annual Self-Assessment

To:

[email protected]

Subject:

REPORT ANNUAL SELF-ASSESSMENT
Annual Self-Assessment
For
Insider Threat Program (ITP)

In accordance with national policy,

acting as the ITP Senior
(ITPSO Name)

Official hereby certifies that ________________________ has completed the annual licensee
(Company Name)

self-review including self-inspection of the ITP.

This information request has been approved by OMB 3150-0251, expiration XX/XX/XXXX. The estimated burden
per response to comply with this voluntary collection is approximately 10 minutes. Send comments regarding the
burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory
Commission, Washington, DC 20555-0001, or by e-mail to [email protected], and to OMB Office of
Information and Regulatory Affairs (3150-0251), 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 it displays a currently valid OMB control number.