Page 1 of

NRC FORM 7

(12-19-2023)

10 CFR 110

U. S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0027 EXPIRES: 05/31/2025

Estimated burden per response to comply with this mandatory collection request: 2.4 hours. This submittal is 

reviewed to ensure that the applicable statutory, regulatory, and policy considerations are satisfied. 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 Infocollects.Resource@nrc.gov, 

and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0027), Attn: Desk Officer for 

the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; email: 

oira_submission@omb.eop.gov. 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. 

PART A. FOR NRC USE ONLY Public OR Non-Public

Date Received

License Number Docket Number Adams Accession Number

PART B. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS, OR CONSENT REQUESTS 

(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 

1. Name and Address of Applicant/Licensee 1a. Name of Applicant's Contact 1b. Applicant's Reference Number

1c. Office Telephone Number 1d. Office Facsimile Telephone Number

1e. Applicant's Email Address

2. Type of Action Requested Export (Parts B, C, E) 

 Import (Parts B, D, E) 

 Amendment/Renewal Current License Number:

 Consent Request (Parts B, C) Current License Number:

3. Contract Number(s) 4. First Shipment Date 5. Last Shipment Date 6. Proposed Expiration Date

PART C. TO BE COMPLETED FOR EXPORT LICENSES, AMENDMENTS, OR RENEWALS 

(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 

7. Name(s)/Address(es) of U. S. Suppliers and/or 

 other U. S. Parties to the Export

7a. Function(s) Performed/Service(s) Provided

8. Name(s)/Address(es) of Intermediate 

 Foreign Consignee(s)

8a. Intermediate Use(s) 

9. Name(s)/Address(es) of Ultimate Foreign 

 Consignee(s)

9a. Ultimate End Use(s) 

10. Description of Radioactive Materials, Sealed Sources, Nuclear Facilities, 

 Equipment, or Components; for Nuclear Equipment include Total Dollar Value 

 of Equipment for Export

10a. Maximum Total Volume/ 

 Element WGT (KG), or 

 Total Activity (TBq)

10b. Max Enrichment 

 or WGT%

10c. Max Isotope 

 WGT (KG)

11. Foreign origin or obligations by country and, if known, by percentage of maximum total volume (leave blank for byproduct licenses)

NRC FORM 7 (12-19-2023)

APPLICATION FOR NRC EXPORT OR IMPORT 

LICENSE, AMENDMENT, RENEWAL, 

OR CONSENT REQUEST(S) 

(See Instructions on Pages 4 and 5)
Page 2 of

NRC FORM 7

(12-19-2023)

10 CFR 110

U. S. NUCLEAR REGULATORY COMMISSION

APPLICATION FOR NRC EXPORT OR IMPORT 

LICENSE, AMENDMENT, RENEWAL, OR CONSENT REQUEST(S) (Continued)

License Number Docket Number Adams Accession Number

 Public OR Non-Public

PART D. TO BE COMPLETED FOR IMPORT LICENSES, AMENDMENTS, OR RENEWALS 

(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

12. Name(s)/Address(es) of Foreign Suppliers and/or 

 other Foreign Parties to Import

12a. NRC Export License Number(s) (if applicable)

13. Name(s)/Address(es) of Foreign or U. S. 

 Intermediate Consignee(s)

13a. License Number(s) / Expiration Date(s)

13b. Intermediate Use(s)

14. Name(s)/Address(es) of Ultimate 

 U. S. Consignee(s)

14a. License Number(s) / Expiration Date(s)

14b. Ultimate End Use(s)

15. Description of Radioactive Materials, Sealed Sources, Nuclear Facilities 15a. Maximum Total Volume/ 

 Element WGT (KG), or 

 Total Activity (TBq)

15b. Max Enrichment 

 or WGT%

15c. Max Isotope 

 WGT (KG)

16. Foreign obligations (By country and by Percentage of Maximum Total Volume)

PART E. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS OR CONSENT REQUEST(S) 

(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

17. Additional Information provided on pages 3, 4, and/or separate sheets?

 Yes No

17a. Copies of Recipient's Authorizations Provided?

 Yes No

18. Certification:

I, the applicant's authorized official, hereby certify that this application is prepared in conformity with Title10, Code of Federal Regulations, 

and that all information provided is correct to the best of my knowledge.

18a. Print Name and Title of Authorized Official 18b. Signature -- Authorized Official 18c. Date

NRC FORM 7 (12-19-2023)
Page 3 of

NRC FORM 7 (12-19-2023)

NRC FORM 7

(12-19-2023)

10 CFR 110

U. S. NUCLEAR REGULATORY COMMISSION

APPLICATION FOR NRC EXPORT OR IMPORT 

LICENSE, AMENDMENT, RENEWAL, OR CONSENT REQUEST(S) (Continued)

License Number Docket Number Adams Accession Number

 Public OR Non-Public

Additional Information (Reference applicable block numbers from page 1 and/or page 2 for each entry)
U. S. NUCLEAR REGULATORY COMMISSION 

INSTRUCTIONS FOR PREPARATION OF NRC FORM 7, APPLICATION FOR 

NRC EXPORT OR IMPORT LICENSE, AMENDMENT, RENEWAL OR CONSENT REQUEST(S)

General Instructions: A completed, signed original NRC Form 7 may be mailed to the Deputy Director, Office of International Programs, 

U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, hand-delivered to the Deputy Director at 11555 Rockville Pike, 

Rockville, Maryland 20852, or emailed to NRCForm7.@nrc.gov.

Refer to Title 10 of the Code of Federal Regulations, Part 110, for specific NRC export/import licensing requirements. For each license, 

amendment or renewal application, and request for exemption identify all foreign and domestic locations where exports or imports will 

be handled, sorted, repackaged and/or processed in any way. Provide information on quantities, forms, and other characteristics of the 

radioactive materials, sealed sources, nuclear facilities and equipment to be exported or imported and indicate how they will be used by 

each of the parties listed. If more space is needed to complete any of the items on this form, use the continuation pages first, and then 

attach additional sheets. Reference appropriate BLOCK number(s) for each entry on all additional sheets. All applicants should avoid 

submitting proprietary information unless absolutely necessary, as NRC is required to make copies of all applications received available 

to the public. If proprietary information must be submitted, follow procedures in 10 CFR 2.390, otherwise, such information could be 

publicly disclosed and/or processing of an application could be significantly delayed. 

BLOCK 1. Enter name and complete physical address of the 

corporation or other entity with direct control over distribution of 

proposed export(s) or import(s), and where required records will be 

maintained and can be inspected. Post Office Box Numbers or 

names of divisions or departments within a legal entity are NOT 

acceptable entries for this BLOCK.

BLOCKS 1a-e. Provide name and contact information identifying 

the best party to answer questions about an application. Applicants 

should use BLOCK 1b to assign their own reference number to 

identify application documents.

BLOCK 2. Indicate the TYPE OF NRC LICENSING ACTION 

requested by checking:

- AMENDMENT OR RENEWAL if applying to modify or extend an 

export or import license previously issued by NRC (and not yet 

expired). Include NRC license number in space provided. If NRC 

receives an amendment/ renewal application at least 30 days or 

more before the license expires, its terms will remain valid and, if 

circumstances permit, it can continue to be used until NRC 

completes action on the amendment or renewal application.

NOTE: FOR CONSENTS FILL OUT BLOCKS, 

(1a-,2,8,9,10,10a,17,18)

PART A. FOR NRC USE ONLY

PART B. TO BE COMPLETED BY ALL APPLICANTS FOR 

ALL LICENSES, AMENDMENTS, RENEWALS, OR CONSENT 

REQUEST(S)

- IMPORT if applying for a new import license.

- EXPORT if applying for a new export license.

PART C. TO BE COMPLETED BY APPLICANTS FOR EXPORT 

LICENSES, AMENDMENTS, RENEWALS, OR CONSENTS

BLOCK 7. Enter names of U. S. supplier(s) and other U. S. 

parties to export not listed in BLOCKS 1, 8, OR 9. Provide 

complete physical address(es) where correspondence should be 

sent and where export(s) can be inspected. Post Office Box 

Numbers are NOT acceptable entries for this BLOCK.

NOTE: For amendments and renewals, provide only the new or 

changed information, as appropriate, in PART C and/or PART D. 

(For example, enter names and addresses of parties or 

consignees, only if they need to be added to, deleted from, or 

their information needs to be changed. If seeking to increase the 

volume or quantity of material or equipment, specify the 

additional increment, and, if applicable, indicate what the new, 

combined cumulative total will be.)

BLOCK 6. Enter a proposed license expiration date 

(MM/DD/YYYY), to accommodate export activities. Note that 

NRC licenses are typically issued for 1-5 years.

BLOCK 5. Enter the anticipated date of last shipment 

(MM/DD/YYYY).

BLOCK 4. Enter the anticipated date of the first shipment 

(MM/DD/YYYY).

Submitting an electronic signature: An authorized official of the legal entity applying for the License, Amendment or Renewal, must 

certify the application using an electronic signature such as Adobe Acrobat e-sign. The signed document should then be submitted to 

the NRC using the email address shown above.

BLOCK 3. If known, provide contract number(s), which may 

be useful references for example, if reviewers need to contact 

recipients or other parties listed on the application.

- CONSENT REQUEST if submitting a request for the NRC to 

obtain government-to-government consent to authorize shipment(s) 

of Category 1 quantities of byproduct material. Include NRC 

license number in space provided.

NOTE: U. S. transport/shipping service provider and/or 

commercial carrier; do not need to be listed as "Other" U. S. 

Parties on the application. These entities are not parties-ininterest to an export license. They serve only as transporters of 

the nuclear material or commodity being exported and their legal 

responsibility from a regulatory standpoint is limited to complying 

with NRC's and the Department of Transportation's transportation 

requirements. If applicants list transport/shipping service 

providers or commercial carriers on their applications, they can 

be identified on the export license if issued, but that does not 

convert them into legally responsible formal parties-in-interest to 

the license. Carriers are not relevant to the NRC's review of an 

export application to determine whether the statutory 

nonproliferation criteria have been met.

BLOCK 7a. Describe functions to be performed and/or services 

to be provided by any U. S. parties listed in BLOCK 7.
BLOCK 10. Describe key characteristics including physical and 

chemical forms, etc., of radioactive materials (i.e., source, special 

nuclear or byproduct materials including sealed sources or devices 

and radioactive waste), nuclear facilities, or equipment, uranium, or 

thorium, and provide chemical form (e.g., U3O8, Th-227). Identify 

and provide total volume in kilograms of ores containing 0.05% or 

more of source material (e.g., tantalum, niobium) and specify 

source material contained. Identify special nuclear material as 

plutonium, high enriched uranium (> 20% U-235) or low enriched 

uranium (<20% U-235) and specify chemical form (e.g. UF6, U02).

U. S. NUCLEAR REGULATORY COMMISSION 

INSTRUCTIONS FOR PREPARATION OF NRC FORM 7, APPLICATION FOR 

NRC EXPORT OR IMPORT LICENSE, AMENDMENT, RENEWAL OR CONSENT REQUEST(S) (Continued)

Identify Appendix L byproduct materials by name and form, 

including maximum total activities and types of sealed sources and/

or devices to be exported over the license life. Identify Appendix P 

materials by name and form, including maximum total quantities 

activity in Terabecquerels (TBq) and types of sealed sources and/or 

devices to be exported on a per shipment basis. For radioactive 

waste, identify and provide maximum total volume in kilograms for 

each non-radioactive material involved, physical and chemical 

forms for each radioactive material, if exported for the purposes of 

disposal in a land disposal facility as defined in 10 CFR Part 61, a 

disposal area as defined in Appendix A to 10 CFR Part 40, or an 

equivalent facility; route(s) of transit, forms of management and 

ultimate disposition. For nuclear facilities, provide total quantity; 

types; names, design power or annual capacity rating; and the 

estimated combined total dollar value. For nuclear equipment, 

identify all items by name, total quantity and function and provide 

the estimated combined total dollar value.

BLOCK 10a. For source material, provide maximum total volume/

element weight over license life in kilograms. For special nuclear 

material, provide maximum total element weight over license life in 

kilograms. For each Appendix L byproduct material listed, provide 

maximum total activity over license life in Terabequerels (TBq). For 

each Appendix P material listed, provide maximum total activity per 

shipment in Tbq.

BLOCKS 10b-c. For special nuclear material including as 

radioactive waste, provide maximum weight % (enrichment) and 

total isotope weight over license life in kilograms.

BLOCK 15. Describe key characteristics including physical 

and chemical forms, etc., of radioactive materials (i.e., source, 

special nuclear or byproduct materials including sealed sources 

or devices and radioactive waste), and nuclear facilities. For 

radioactive waste, identify and provide maximum total volume in 

kilograms for each non-radioactive material (e.g., contaminated 

steel) involved, and for each radioactive material contained, 

including its physical and chemical forms for each radioactive 

source, special nuclear or byproduct material. Identify 

responsible, and provide industrial process, route(s) of transit, as 

well as the status of arrangements for disposition in the U.S., 

e.g., any agreement by a low-level waste compact or State to 

accept for management or disposal. For nuclear facilities, 

provide total quantities; types; names, design power or annual 

capacity rating; and the estimated combined total dollar value.

BLOCK 15a. For source and/or special nuclear material, provide 

maximum total volume/element weight over license life in 

kilograms. For Appendix L byproduct material, including that 

which is in the form of radioactive waste, provide maximum total 

activity over license life in TBq.

BLOCKS 15b-c. For special nuclear material including that 

which is in the form of radioactive waste, provide maximum 

enrichment/weight % and maximum total isotope weight over 

license life in kilograms.

BLOCK 16. Identify each country and the percentage of the 

maximum total volume that may be obligated to them (require 

U. S. Government action, e.g., prior notification).

PART E. TO BE COMPLETED BY ALL APPLICANTS

BLOCK 17. Check YES or NO to verify whether or not additional 

information is being provided using the space provided on the 

continuation pages and separate sheets.

BLOCK 17a. Check YES or NO to verify whether or not copies of 

domestic recipients' authorizations required for Appendix P 

materials (see Part 110.32 requirements) are included with the 

application. 

BLOCKS 18a-c. An authorized official of the legal entity 

applying for the License, Amendment or Renewal, must certify.

BLOCKS 13a and 14a. Enter NRC or Agreement State Materials 

License number(s) including expiration date(s) (MM/DD/YYYY) 

for each U.S. consignee, authorizing receipt, possession, use or 

distribution. 

BLOCKS 8-9. Enter names and physical address(es) for each 

intermediate and each ultimate foreign location. Post Office Box 

Numbers are NOT acceptable entries for these BLOCKS.

BLOCKS 8a and 9a. Describe how each consignee will use 

export(s), including functions to be performed and/or services to be 

provided.

BLOCK 11. For proposed exports or imports (of source or special 

nuclear material or nuclear facilities or equipment). Identify each 

country of origin of equipment or materials, and any other countries 

that have processed the material prior to its import into the United 

States, and, if known, the percentage of the maximum total volume 

that may be obligated to a foreign country (requires U. S. 

Government action, e.g., prior notification).

BLOCK 12. Enter name(s) and address(es) of foreign supplier(s) or 

exporter(s).

PART D. TO BE COMPLETED BY APPLICANTS FOR IMPORT 

LICENSES, AMENDMENTS OR RENEWALS

BLOCK 12a. For import(s) originally exported under a specific 

NRC license, enter that license number.