NRC FORM 531

(07-28-2022)

REQUEST FOR TAXPAYER 

IDENTIFICATION NUMBER

U.S. NUCLEAR REGULATORY COMMISSION 

NRC MD 12.3

APPROVED BY OMB: NO. 3150-0188 EXPIRES: 07/31/2025 

Estimated burden per response to comply with this mandatory collection request: 15 minutes. The 

information is required by NRC to process payments to contractors. Send comments regarding burden 

estimate to the FOIA, Library, and Information Collections Branch (T-6A10M), U.S. Nuclear Regulatory 

Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and the 

OMB Reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0188), Attn: Desk Officer 

for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: 

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.

In accordance with the Debt Collection Improvement Act of 1996, you are required to provide your 

taxpayer identification number. This number may be used to make payments (refunds) or for purposes 

of collecting and reporting on any delinquent amounts arising out of your relationship with the Federal 

Government.

Please complete the applicable blocks and fax the completed form to (301) 415-6725. Thank you for 

your assistance and cooperation. If you have any questions, please contact us. Our telephone number 

is (301) 415-7554.

 Indicate the status of your business:

CORPORATION

PARTNERSHIP

CITY/STATE GOVERNMENT

FEDERAL GOVERNMENT

INDIVIDUAL

OTHER (Specify in box below)

TAXPAYER IDENTIFICATION NUMBER NRC LICENSE OR 

REGISTRATION NUMBER(S)

OR

-

- -

SOCIAL SECURITY NUMBER

EMPLOYER IDENTIFICATION NUMBER

Under penalties of perjury, I certify that the number shown on this form is my correct 

taxpayer identification number.

SIGNATURE - TAXPAYER REPRESENTATIVE NRC LICENSEE OR VENDOR

BILLING ADDRESS

 BILLING TELEPHONE NUMBER BILLING EMAIL ADDRESS

NRC Form 531 (07-28-2022) Page 1 of 2

*Note: Social Security Numbers must not be visible on the outside of any package sent by mail.
PRIVACY ACT STATEMENT 

NRC FORM 531 

REQUEST FOR TAXPAYER IDENTIFICATION NUMBER

Pursuant to 5 U.S.C. 552a(e)(3), enacted into law by Section 3 of the Privacy Act of 1974 (Public Law 93-579), 

the following statement is furnished to individuals who supply information to the Nuclear Regulatory Commission 

(NRC) on NRC Form 531. This information is maintained in a system of records designated as NRC-32 and 

described at 84 Federal Register 71559 (December 27, 2019), or the most recent Federal Register publication of 

the NRC's Systems of Records Notices that is located in the NRC's Agencywide Documents Access and 

Management System (ADAMS).

1. AUTHORITY: U.S.C. 552a; 5 U.S.C. 5514; 15 U.S.C. 1681; 26 U.S.C. 6103; 31 U.S.C. chapter 37; 31 U.S.C. 

6501 -6508; 42 U.S.C. 2201; 42 U.S.C. 5841; 31 CFR 900 -904; 10 CFR parts 15, 16, 170, 171; Executive Order 

(E.O.) 9397, as amended by E.O. 13478; and E.O. 12731.

2. PURPOSE(S): To obtain taxpayer identification number/social security number/individual taxpayer 

identification number to enable the NRC to process payments and collect/report delinquent debts.

3. ROUTINE USES: Information from this form may be transmitted to: debt collection contractors and/or Federal 

agencies for collecting delinquent debts and/or collection action on such debts; any Federal, State or local 

agencies to conduct authorized computer matching programs and to credit reporting agencies; Treasury on past 

due non-tax debts for the purpose of locating the debtor and/or effecting offset under Treasury Offset Program. 

Information may be publicly disseminated regarding the identity of delinquent non-tax debtors and the existence 

of non-tax debts under the provisions of the Debt Collection Improvement Act of 1996. Information may be 

disclosed in accordance with any of the Routine Uses listed in the Prefatory Statement of General Routine Uses, 

including to an appropriate Federal, State, local or Foreign agency in the event the information indicates a 

violation or potential violation of law; in the course of an administrative or judicial proceeding; to an appropriate 

Federal, State, local and foreign agency to the extent relevant and necessary for an NRC decision about you or to 

the extent relevant and necessary for that agency's decision about you; in the course of discovery under a 

protective order issued by a court of competent jurisdiction, and in presenting evidence; to a Congressional office 

to respond to their inquiry made at your request; to NRC-paid experts, consultants, and others under contract with 

the NRC, on a need-to-know basis; or to appropriate persons and entities for purposes of response and remedial 

efforts in the event of a suspected or confirmed breach of data from this system of records.

4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT 

PROVIDING INFORMATION: It is mandatory that you furnish the requested information pursuant to the Debt 

Collection Improvement Act of 1996 (Public Law 104-134). If you do not provide the requested information, we 

may no longer be able to conduct business with you, and if you are due a refund, you may give up your rights to 

your refund.

5. SYSTEM MANAGER AND ADDRESS: Comptroller, Division of the Comptroller, Office of the Chief Financial 

Officer, U.S. Nuclear Regulatory Commission, Washington, DC 20555-001.

Page 2 of 2