NMSS Procedure Approval 

Format for STC and RCPD Letters 

AD-200

Issue Date: December 23, 2014

Review Date: December 23, 2017

Laura A. Dudes 

Director, MSTR /RA/ Date: 12/23/2014

A. Duncan White 

Branch Chief, ASPB, MSTR /RA/ Date: 12/22/2014 

Kathleen N. Schneider 

Procedure Contact, MSTR /RA/ Date: 12/18/2014 

ML14352A335 

NOTE 

Any changes to the procedure will be the responsibility of the NMSS Procedure Contact. 

Copies of the NMSS procedures are available through the NRC website. 
Procedure Title: 

Format for STC and RCPD Letters 

Procedure Number: AD-200

Page: 1 of 9 

Issue Date: 

12/23/2014 

I. INTRODUCTION

This procedure establishes the format and content requirements for formal letters sent 

from the Office of Nuclear Material Safety and Safeguards (NMSS) to the Directors 

and staff members of both Agreement and Non-Agreement State Radiation Control 

Programs, Native American Tribal Leaders as well as other State officials. This set of 

correspondents is generally referred to in this procedure as the “States.” Methods 

used for communicating with States include face-to-face meetings, teleconferences, 

informal e-mails, and formal letters. Formal letters provide the advantage of a written 

forum for, and a concise record of the information exchanged. 

II. OBJECTIVE

To provide guidance for NMSS staff in creating standardized formal letters for 

providing information to States. A letter categorization schema, numbering system, 

format outline, distribution, and content definition are addressed in this procedure. 

III. BACKGROUND

To facilitate written communication with States, the NMSS staff has developed a set 

of standard formats for letters. The standard format letters used by NMSS reflect 

years of experience in communicating with the States, notably in the previous Office 

of State and Tribal Programs and the Office of Federal and State Materials and 

Environmental Management Programs (FSME). The letter formats evolved into their 

current form largely in response to these experiences. 

In most cases, letters to the States will be distributed by e-mail. Nevertheless, the 

letters should follow the formal letter format. In order to assure clear and concise 

written communications with States and interested stakeholders, it is the policy of 

NMSS to utilize the standard format letters to provide the States information that is 

expected to be of more than casual interest to the recipients. Such information 

includes, but is not limited to, matters related to compatibility, public health and safety, 

security, or regulatory program operation. 
AD-200: Format for STC and RCPD Letters Page: 2 of 9 

Issue Date: 

12/23/14 

IV. ROLES AND RESPONSIBILITIES

A. The Director, Division of Material Safety, State, Tribal, and Rulemaking 

Programs (MSTR), signs all State and Tribal Communications (STC) and 

Radiation Control Program Directors (RCPD) letters concerning matters within 

NMSS responsibility. 

B. The Director, NMSS may on rare occasions sign a STC or RCPD letter(s) 

concerning significant matters within the NMSS responsibility. 

C. The cognizant Branch Chief is responsible for the review and concurrence on 

STC and RCPD letters originating within the branch. Other offices or NMSS 

divisions can request assistance in sending out STC and RCPD letters. The 

appropriate Branch Chief will be responsible for processing the letter through their 

branch in coordination with the requesting office or division in accordance with this 

procedure. 

D. The MSTR staff member writing the letter is responsible for the accuracy of 

information, compliance with the U.S. Nuclear Regulatory Commission (NRC) 

guidelines for communications, protection of sensitive information, and following 

appropriate format in this procedure. The MSTR staff member is responsible 

for coordination with the MSTR Office of Management and Budget (OMB) 

Contact for the 10-day pre-approval for use with the OMB Paperwork 

Reduction Act clearances. 

E. The MSTR administrative assistants are responsible for: 

1. Finalizing the format of the letter and preparing a concurrence package for 

signatures; 

2. Numbering the letter sequentially when the letter is signed and 

updating the STC Letter Index or the RCPD Letter Index on the 

MSTR SharePoint; 

3. Placing the letter in the Agencywide Documents Access and 

Management System (ADAMS) with an assigned ML number for 

immediate processing in accordance with ADAMS template 

NMSS-005 (See Appendix A). 
AD-200: Format for STC and RCPD Letters Page: 3 of 9 

Issue Date: 

12/23/14 

4. Using the sample e-mails format in Appendix B to transmit a PDF 

formatted electronic copy via LYRIS list servers (Appendix C), within 

2 days of the letter’s date, to the recipients of the letter. 

5. Create an additional ADAMS package associated with the STC/RCPD 

letters when comments are requested from the States. 

F. MSTR OMB Contact for STC/RCPD Letters is responsible for: 

1. Coordination with NRC Clearance Officer, Office of Information Services (OIS) 

to obtain OMB approval for use of the OMB clearance prior to issuance of any 

STC/RCPD letters requesting comments. 

2. Maintaining a log in SharePoint to track STC/RCPD letters that need a 10-day 

pre-approval from OMB prior to formal transmittal to the States. 

V. GUIDANCE

A. Generally, one of two variants of the standard letter format should be used to 

create letters to the States. 

1. STC letters are used for non-sensitive information (Appendix D). They are 

publicly available and posted both in public ADAMS and on the NMSS public 

website. Examples of STC letters include notices of public meetings, 

notices of training course offerings, solicitation of comments, and alerts that 

proposed NRC rules are being published in the Federal Register. 

2. RCPD letters are used for sensitive, unclassified non-safeguards information 

(Appendix E). They are NOT publicly available. Use the phrase “OFFICIAL 

USE ONLY – SENSITIVE INTERNAL INFORMATION” in the header and 

footer of the letter and each page of the enclosure. 

B. Since RCPD letters contain sensitive information, they should not be referenced 

in STC letters. Likewise, the distribution of RCPD letters should be limited to 

persons with an established “need to know.” Names should not be added to any 

list server used to distribute RCPD letters without the approval of MSTR Division 

Director or designee. 

C. Neither the STC nor RCPD letter form should be used for letters addressed to 

one addressee, nor should they be used for letters to be signed by the Executive 

Director for Operations, or the Chairman. 
AD-200: Format for STC and RCPD Letters Page: 4 of 9 

Issue Date: 

12/23/14 

D. Both STC and RCPD letters follow the same basic format. Individual letters 

may deviate from the format only as necessary for clear communication in 

specific instances. Letters should be formatted using Arial 11 point font, one 

inch margins, left justified except for signature blocks. Standard signature and 

concurrence blocks should be used. 

1. The addressees should be listed in all caps, no underline, no bold. 

a. STC letters should be addressed to Agreement States, Non-Agreement 

States, or both, as appropriate. If appropriate, include States that have 

submitted a formal letter of intent to seek an Agreement. If appropriate, 

specific State officials, such as the State Liaison Officers can be 

addressees. STC letters can also be used to communicate with the 

Native American Tribal Leaders. 

Examples: 

Letters to all Agreement States: 

ALL AGREEMENT STATES, [STATES THAT HAVE SUBMITTED 

A FORMAL LETTER OF INTENT TO SEEK AN AGREEMENT – 

EXAMPLE: WYOMING] 

Letters to all Agreement and Non-Agreement States, and the State 

Liaison Officers: 

ALL AGREEMENT AND NON-AGREEMENT 

STATES STATE LIAISON OFFICERS 

Letters to Native American Tribal Leaders and the 

State Liaison Officers: 

NATIVE AMERICAN TRIBAL LEADERS 

STATE LIAISON OFFICERS 

Letters to individual States: 

CALIFORNIA, ILLINOIS, MASSACHUSETTS, NEW YORK, AND TEXAS 
AD-200: Format for STC and RCPD Letters Page: 5 of 9 

Issue Date: 

12/23/14 

b. RCPD letters should be addressed directly to the State officials that 

are intended recipients, usually the Radiation Control Program 

Director. Other State officials include the State Liaison Officers and 

State Part 71/Part 73 contacts. 

Example: 

ALL AGREEMENT STATE RADIATION CONTROL 

PROGRAM DIRECTORS 

STATE LIAISON OFFICERS 

2. The subject should be a concise statement of the subject of the letter, as 

short as practical. The subject should be elaborated upon as needed in the 

purpose paragraph. The subject line format should be all caps, no bold, no 

underline. 

Example (STC letter): 

NOTIFICATION OF NRC WORKSHOPS (STC-YY-NNN) 

3. Letters are usually divided into three sections, entitled: purpose, background, 

and discussion. For very brief (i.e., one page) letters providing limited 

specific information, the sections may be consolidated and the section titles 

omitted. Section titles should be formatted as initial caps or sentence case, 

bold, no underline. 

a. Purpose - The purpose section should elaborate as needed on the 

subject of the letter. Generally, it should be kept short - one paragraph. 

Avoid including text which could be placed in another paragraph. The 

final sentence of the paragraph should advise the addressee if an action 

or response is requested or required. If no action or response on the part 

of the recipient is requested or required, a statement to that effect is 

optional. 

b. Background - The text in the background section should be limited to 

pertinent historical information leading up to the issue being 

addressed. Current activities and situations should be addressed in 

the discussion section. 

c. Discussion - The discussion section should include descriptions of the 

current issue, situation, and activities. If any action is requested, 

required, or expected from the addressees, it should be fully and clearly 

spelled out in the discussion section. 
AD-200: Format for STC and RCPD Letters Page: 6 of 9 

Issue Date: 

12/23/14 

4. Closing/Contact Paragraph 

The final paragraph, just above the signature block, should include the 

telephone number of the signatory (normally, the MSTR Director). A point 

of contact (i.e., an NRC staff member with personal knowledge of the 

letter’s subject), should be provided. 

The following format should be used for point of contact information:

If you have any questions regarding this correspondence, please contact me 

at [signatory Director’s phone number] or the individual named below. 

POINT OF CONTACT: Staff Name E-MAIL: staff.name@NRC.GOV 

TELEPHONE: (301) 415-[xxxx] 

5. Enclosures 

By convention, STC and RCPD letters may contain enclosures, but not 

attachments. The enclosures may contain attachments, but the attachments 

are generally not listed in the letter. All enclosures must be listed, each by its 

full name or description, immediately under the signature block. 

6. OMB Clearances (Appendix F) 

a. For most requests for information from the States, an OMB Paperwork 

Reduction Act control number and notification is required. NMSS 

maintains separate control numbers (sometimes referred to as 

“clearances”) for information requests from Agreement States only, 

information requests from Non-Agreement States only, and for information 

requests from both Agreement and Non-Agreement States. The required 

paragraph and control number should be placed in a footnote associated 

with an asterisk placed at the end of the sentence requesting the return of 

information. In cases where more than one group of addressees are 

recipients of the letter, the required paragraph and control number for each 

group of addressees should be included in the letter. 

b. MSTR OMB Contact provides coordination with NRC Clearance Officer, 

OIS to obtain OMB approval for use of the OMB clearance prior to issuance 

of any STC/RCPD letters requesting comments. Draft STC/RCPD letters 

should be provided to the MSTR OMB Contact at least 12 work days prior 

to the desired date for issuance of the letter. 
AD-200: Format for STC and RCPD Letters Page: 7 of 9 

Issue Date: 

12/23/14 

c. The MSTR OMB Contact will e-mail the draft STC/RCPD letter to OIS to 

forward for OMB’s review. OMB has committed to a 10-day turnaround for 

use of these clearances. 

 

d. A SharePoint log to track STC/RCPD letters that will need the 10-day 

approval from OMB prior to formal transmittal to the States will be 

maintained by the MSTR OMB Contact on the MSTR/ASPB SharePoint 

library. 

7. Signature and concurrence 

Standard signature and concurrence blocks should be used. 

Note: Although all signature blocks should be for the MSTR 

Director, the MSTR Director can delegate signature permission 

depending on the type of letter, of some standard 

communications. For example, the appropriate branch chief can 

sign the training notification STC letters for the MSTR Director. 

8. Whenever a return of information is requested from the States through STC or 

RCPD letter, use Appendix G for tracking the comments that are received, and 

place the Comment Received document in a separate ADAMS package with 

any responses to the STC/RCPD letter. The contact for the letter should work 

with the assigned administrative assistant to set up the package. If the 

responses are to a RCPD letter, each response and the package should be 

classified as sensitive information and profiled in ADAMS in the same manner 

as RCPD letters. 

 E. STC and RCPD letters location 

All letters should be placed in the ADAMS main library. RCPD letters are placed 

in the folder: NMSS - RCPD Letters [YEAR]. STC letters are placed in the folder: 

NMSS/STC - Letters [YEAR]. 

G. Other Means of Communication with Agreement States 

On March 16, 2009, the Office of the Inspector General (OIG) issued a report 

conveying the results of an audit on NRC’s Agreement State Program. In this 

report the OIG recommended that a set of procedures that standardize 
AD-200: Format for STC and RCPD Letters Page: 8 of 9 

Issue Date: 

12/23/14 

communications from the NRC to the Agreement States be developed. The 

report noted that for communications with Agreement States the agency lacks 

formal standardized procedures or guidance for the communication, including 

communicating significant events through the Regional State Agreements 

Officers (RSAO) or other means. 

To facilitate communications with the Agreement States outside of the written 

correspondence described in this procedure, the former FSME staff had developed 

FSME Procedure AD-800. Communications Between FSME/ Regional Offices and 

the Agreement States. AD-800 continues to remain in effect and is considered a 

NMSS procedure until it is reviewed and reissued. 

VI. APPENDICES

Appendix A – ADAMS Template NMSS-005 

Appendix B – Sample E-mails for Distribution of the Letters 

Appendix C – NMSS Distribution List Servers 

Appendix D – Sample STC Letter 

Appendix E – Sample RCPD Letter 

Appendix F -- OMB Clearances 

Appendix G – Comments Received 

VII. REFERENCES

1. Audit Report, Audit Report of NRC’s Agreement State Program, OIG-09-A-08, 

March 16, 2009. 

2. FSME Procedure AD-800, Communications Between FSME/ Regional Offices and the 

Agreement States.

VIII. ADAMS REFERENCE DOCUMENTS 

For knowledge management purposes, all previous revisions of this procedure, as well as 

associated correspondence with stakeholders, that have been entered into ADAMS are 

listed below. 

No. Date Document Title/Description Accession Number

1 1/3/2009 FSME Procedure AD 200 ML083460146 

2 10/25/2010 FSME Procedure AD 200 ML102870042 
Appendix A 

ADAMS Template NMSS-005 

DOCUMENT TYPE SUMMARY NMSS-005

DOCUMENT TYPE: STC and RCPD Letters to State Officials

Background

The Office of Nuclear Material Safety and Safeguards (NMSS) sends formal letters known as 

State and Tribal Communications (STC) and Radiation Control Program Director (RCPD) 

letters to the Directors and staff members of both Agreement and Non-Agreement State 

Radiation Control Programs, State Liaison Officers, Native American Tribal Leaders as well as 

other State officials. 

All completed STC and RCPD letters will be numbered in the following fashion on the subject 

line after the subject: 

(STC-YY-NNN) 

(RCPD-YY-NNN) 

The numbers will be obtained after signature and the listing will be maintained by the 

administrative assistant for the Director, Division of Material Safety, State, Tribal and 

Rulemaking Programs. 

STC Letters

STC letters are used for non-sensitive information. They are publicly available and are posted 

both in public ADAMS and on the NMSS public website. Examples of STC letters include 

notices of public meetings, notices of training course offerings, solicitation of comments, and 

alerts that proposed NRC rules are being published in the Federal Register. 

This correspondence will usually be signed at the division director level or higher in NMSS. 

RCPD Letters 

RCPD letters are used for sensitive, unclassified non-safeguards information. They are NOT 

publicly available, and are not posted or listed on the external web. The phrase “OFFICIAL 

USE ONLY – SENSITIVE INTERNAL INFORMATION” will be used in the header and footer of 

each page of the letter and any enclosures. 

This correspondence will usually be signed at the division director level or higher in NMSS. 

Special Instructions:

This template is to be used by the Document Processing Center (DPC) and staff when 

processing STC and RCPD letters prepared by the NMSS into ADAMS. 
Profile Field Requirements for the DPC: 

Item ID System Assigned 

Accession No. System Assigned 

Estimated Page Count DPC Enter:

Actual number of pages of file 

Document Date DPC will input date printed/stamped on document. 

Format is: MM/DD/YYYY 

Document Type All Agreement States Letters 

and 

Other document types that apply, e.g., Letter, E-mail, 

Memo. 

Availability Entered by NMSS 

STC Letters – Publicly Available 

or 

RCPD Letters – Non-Publicly Available

Title Entered by NMSS 

STC-YY-NNN, [Subject line from letter] 

or 

RCPD-YY-NNN, [Subject line from letter] 

DPC will change if incorrect

Author Name Name of person who signed cover letter 

Author Affiliation Affiliation of person who signed cover letter 

Addressee Name 

Addressee Affiliation State, Agreement States 

[States that have signed letters of intent – State 

of WY] 

and/or 

Other State Affiliations that the letter is 

addressed to such as 

State, Non-Agreement States 

State Liaison Officers
Docket No. 

License No. 

Case/Reference No. 

Document/Report Number Entered by NMSS 

STC-YY-NNN 

or 

RCPD-YY-NNN 

Keyword Entered by NMSS staff: 

NMSS-005 

“SUNSI Review Complete” for STC letters, which 

are publicly available. 

or 

Item Code (e.g., MD 3.4 Non-Public A.7) for RCPD 

letters, which are Non-Publicly Available 

Note: Press Enter after each entry

Document Date Received 

Date Docketed 

Comment Entered by NMSS Staff: 

LAN ID of person entering document into ADAMS 

DPC will not add any value to this field 

Vital Records Category System Assigned 

Document Status 

Media Type Electronic 

Physical File Location ADAMS 

FACA Document No 
Date To Be Released Entered by NMSS if Publicly Available [STC letters 

only]

Distribution List Codes Entered by NMSS 

SP03 for STC letters 

or 

SPX2 for RCPD letters 

Contact Person Entered by NMSS 

Text Source Flag Entered by NMSS: 

Native Application 

Official Record System Assigned 

Document Sensitivity Entered by NMSS: 

Non-sensitive for STC letters 

or 

Sensitive- Internal-periodic review reqd (all other 

sensitive info) for RCPD letters 

Entered by NMSS: 

Security Rights for the Document/Packages, please add: 

NMSS-MSTR-Administrative Assistants – Owner 

Document Processing Center – Owner 

Record Managers – Owner 

NRC Users – Viewer 
Appendix B

Sample E-mails for Distribution of the Letters 

E-Mail Distribution for RCPD Letters:

SUBJECT LINE: 

RCPD-YY-NNN, Notification of Credentialing Request for the National Source Tracking 

System 

BODY TEXT: 

Non-Publicly Available 

The subject line letter, RCPD-YY-NNN, with its Enclosure [if applicable] is contained in 

the attached electronic file. 

Please do not relay the attached document to individuals who do not have a "need to know." 

This document is not to be publicly released. 

Thank you. 

E-Mail Distribution for STC Letters

SUBJECT LINE: 

STC-YY-NNN, Publication of U.S. Nuclear Regulatory Commission Guidance on Medical Use 

Licenses 

BODY TEXT: 

The subject line letter, STC-YY-NNN, with its Enclosure [if applicable] is contained in the 

attached electronic file, and can be found at the NMSS website: www.nrc.gov > About 

NRC > Organization and Functions > Office of Nuclear Material Safety and 

Safeguards. In the "Related Information" box, select Agreement State Program and 

then go to "Resources and Tools" and select "State and Tribal Communications (STC) 

Letters.” 

Thank you. 

Note: YY stands for the year the letter is issued. 

 NNN stands for the number assigned to the letter after it is signed. 
Appendix C

NMSS Distribution List Servers

1. STPJUSTSTATES: 

This list server is for mailings that need to go to Agreement State Radiation Control 

Program Directors (mailing content includes RCPD letters concerning sensitive 

information, press releases). 

2. STPOTHERSTATES: 

This list server is for mailings that need to go to Non-Agreement State Radiation Control 

Program Directors (mailing content includes press releases, occasionally RCPD letters 

are also sent to Non-Agreement States). 

3. STPJUSTSLOs: 

This list server is for mailings that need to go to State Liaison Officers only (mailing 

content includes letters to SLOs, press releases, notice of opportunity to comment on 

Rulemaking, Federal Register notices, meeting notices). 

4. STPANNOUNCEMENTS: 

This list server is for mailings that need to go to parties who have subscribed to receive 

notifications, announcements, etc. regarding NMSS via the NMSS public website (STC 

letters). 
Appendix D

Sample STC Letter 

Month Day, Year 

ALL AGREEMENT STATES, [LETTER OF INTENT STATES, (IF ANY)] 

STATE LIAISON OFFICIERS 

OPPORTUNITY TO COMMENT ON NRC DOCUMENT (Name of the document) 

(STC-YY-NNN) 

Purpose: The purpose section should elaborate as needed on the subject of the letter. 

Generally, it should be kept short - one paragraph. Avoid including text which could be placed 

in another paragraph. The final sentence of the paragraph should advise the addressee if an 

action or response is requested or required. If no action or response on the part of the 

recipient is requested or required, a statement to that effect is optional. 

Example: [To inform Agreement States and State Liaison Officers about the opportunity to 

provide comments on the final draft of the U.S. Nuclear Regulatory Commission (NRC) 

Revised Document.* **] 

Background: The text in the background section should be limited to pertinent historical 

information leading up to the issue being addressed. Current activities and situations should be 

addressed in the discussion section. 

Discussion: The discussion section should include descriptions of the current issue, situation, 

and activities. If any action is requested, required or expected from the addressees, it should be 

fully and clearly spelled out in the discussion section. 

Example: [Comments about the final draft of the document should be submitted by Month Day, 

Year. Information about methods for submitting your comments is available in the Federal 

Register notice. Response time should be greater than 30 days. If your requested response 

time needs to be within 30 days, it has to be approved by the Division Director.] 

*This information request has been approved by OMB 3150-0029 expiration 04/30/2017. The estimated 

burden per response to comply with this voluntary collection is approximately 8 hours. Send comments 

regarding the burden estimate to the Records and Information Services Branch (T-5F53), U.S. Nuclear 

Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mail to infocollects.resource@nrc.gov, 

and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202 (3150-0200), Office of 

Management and Budget, Washington, DC 20503. If a means used to impose an information collection does 

not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not 

required to respond to, the information collection. 

**This information request has been approved by OMB 3150-0163, expiration 03/31/2016. The estimated 

burden per response to comply with this voluntary collection is approximately 8 hours. Send comments 

regarding the burden estimate to the Records and Information Services Branch (T-5F53), U.S. Nuclear 

Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mail to infocollects.resource@nrc.gov, 

and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202 (3150-0200), Office of 

Management and Budget, Washington, DC 20503. If a means used to impose an information collection does 

not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not 

required to respond to, the information collection. 
STC-YY-NNN -2- 

If you have any questions regarding this correspondence, please contact me at [signatory 

Director’s phone number] or the individual named below. 

POINT OF CONTACT: Your Name E-MAIL: your.name@nrc.gov 

TELEPHONE: (301) 415-xxxx 

/RA/

Director’s Name, Director 

Division of Material Safety, State, Tribal, 

 and Rulemaking Programs 

Office of Nuclear Material Safety 

 and Safeguards 

Enclosures: 

1. Related document 

2. The Draft Policy to be commented 

3. List of students from the States 

 selected to attend the H-313 course 

Note: This letter will be sent out to everyone who signed on to the NMSS List Server under 

NMSS Public Website.
FSME-YY-NNN -2- 

If you have any questions on this correspondence, please contact me at [signatory Director’s 

phone number] or the individual named below. 

POINT OF CONTACT: Your Name E-MAIL: your.name@nrc.gov 

TELEPHONE: (301) 415-xxxx 

/RA/

Director’s Name, Director 

Division of Material Safety, State, Tribal, 

 and Rulemaking Programs 

Office of Nuclear Material Safety 

 and Safeguards 

Enclosures: 

1. Related document 

2. The Draft Policy to be commented 

3. List of students from the States 

 selected to attend the H-313 course 

DISTRIBUTION: 

MSTR RF 

[Insert name], [Insert Appropriate Offices] 

[Insert name], [Insert Appropriate Regions] 

ML Number

OFC 

NAME 

DATE / /YY / /YY / /YY / /YY / /YY 

OFFICIAL RECORD COPY 
OFFICIAL USE ONLY – SENSITIVE INTERNAL INFORMATION 

Appendix E

Sample RCPD Letter 

Month Date, Year 

ALL AGREEMENT STATE RADIATION CONTROL PROGRAM DIRECTORS, [LETTER OF 

INTENT STATES, (IF ANY)] 

OPPORTUNITY TO COMMENT ON THE NRC DOCUMENT [NAME OF THE DOCUMENT] 

(RCPD-YY-NNN) 

Purpose: The purpose section should elaborate as needed on the subject of the letter. 

Generally, it should be kept short - one paragraph. Avoid including text which could be placed 

in another paragraph. The final sentence of the paragraph should advise the addressee if an 

action or response is requested or required. If no action or response on the part of the 

recipient is requested or required, a statement to that effect is optional. 

Example: [To inform Agreement States about the opportunity to provide comments on the final 

draft of the U.S. Nuclear Regulatory Commission (NRC) Revised Document.*] 

Background: The text in the background section should be limited to pertinent historical 

information leading up to the issue being addressed. Current activities and situations should be 

addressed in the discussion section. 

Discussion: The discussion section should include descriptions of the current issue, situation, 

and activities. If any action is requested, required or expected from the addressees, it should be 

fully and clearly spelled out in the discussion section. 

Example: [Comments about the final draft of the document should be submitted by Month Day, 

Year. Information about methods for submitting your comments is available in the Federal 

Register notice.] 

* This information request has been approved by OMB 3150-0029 expiration 04/30/2017. The estimated burden per 

response to comply with this voluntary collection is approximately 8 hours. Send comments regarding the burden 

estimate to the Records and Information Services Branch (T-5F53), U.S. Nuclear Regulatory Commission, Washington, 

DC 20555-0001, or by Internet e-mail to infocollects.resource@nrc.gov, and to the Desk Officer, Office of Information 

and Regulatory Affairs, NEOB-10202 (3150-0200), Office of Management and Budget, Washington, DC 20503. If a 

means used to impose an information collection does not display a currently valid OMB control number, the NRC may 

not conduct or sponsor, and a person is not required to respond to, the information collection.

OFFICIAL USE ONLY – SENSITIVE INTERNAL INFORMATION 
OFFICIAL USE ONLY – SENSITIVE INTERNAL INFORMATION 

RCPD-YY-NNN -2- 

If you have any questions regarding this correspondence, please contact me at [signatory 

Director’s phone number] or the individual named below. 

POINT OF CONTACT: Your Name E-MAIL: your.name@nrc.gov 

TELEPHONE: (301) 415-xxxx 

/RA/

Director’s Name, Director 

Division of Material Safety, State, Tribal, 

 and Rulemaking Programs 

Office of Nuclear Material Safety 

 and Safeguards 

Enclosures: 

1. Related document 

2. The Draft Policy to be commented 

OFFICIAL USE ONLY – SENSITIVE INTERNAL INFORMATION 
OFFICIAL USE ONLY – SENSITIVE INTERNAL INFORMATION 

RCPD-YY-NNN -2- 

If you have any questions on this correspondence, please contact me at [signatory Director’s 

phone number] or the individual named below. 

POINT OF CONTACT: Your Name INTERNET: your.name@nrc.gov 

TELEPHONE: (301) 415-xxxx 

/RA/

Director’s Name, Director 

Division of Material Safety, State, Tribal, 

 and Rulemaking Programs 

Office of Nuclear Material Safety 

 and Safeguards 

Enclosures: 

1. Related document 

2. The Draft Policy to be commented 

DISTRIBUTION: 

MSTR RF 

[Insert name], [Insert Appropriate Offices] 

[Insert name], [Insert Appropriate Regions] 

ML Number

OFC 

NAME 

DATE / /YY / /YY / /YY / /YY / /YY 

OFFICIAL RECORD COPY 

OFFICIAL USE ONLY – SENSITIVE INTERNAL INFORMATION 
Appendix F

OMB Clearances Texts 

OMB CLEARANCE STATEMENT FOR STC AND RCPD LETTERS 

(OMB 3150-0029 – AGREEMENT STATES)1

* This information request has been approved by OMB 3150-0029 expiration 04/30/2017. The 

estimated burden per response to comply with this voluntary collection is approximately 8 hours. 

Send comments regarding the burden estimate to the Records and Information Services Branch 

(T-5F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Internet email to infocollects.resource@nrc.gov, and to the Desk Officer, Office of Information and 

Regulatory Affairs, NEOB-10202 (3150-0200), Office of Management and Budget, Washington, 

DC 20503. If a means used to impose an information collection does not display a currently 

valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to 

respond to, the information collection. 

OMB STATEMENT FOR STC LETTERS 

(OMB 3150-0200 - NON-AGREEMENT STATES)

* This information request has been approved by OMB 3150-0200 expiration 09/30/2015. The 

estimated burden per response to comply with this voluntary collection is approximately 8 

hours. Send comments regarding the burden estimate to the Records and Information 

Services Branch (T-5F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-

0001, or by Internet e-mail to infocollects.resource@nrc.gov, and to the Desk Officer, Office of 

Information and Regulatory Affairs, NEOB-10202 (3150-0200), Office of Management and 

Budget, Washington, DC 20503. If a means used to impose an information collection does not 

display a currently valid OMB control number, the NRC may not conduct or sponsor, and a 

person is not required to respond to, the information collection. 

OMB STATEMENT FOR STC LETTERS 

(OMB 3150-0163 - STATE LIAISON OFFICERS)

* This information request has been approved by OMB 3150-0163, expiration 03/31/2016. The 

estimated burden per response to comply with this voluntary collection is approximately 8 

hours. Send comments regarding the burden estimate to the Records and Information 

Services Branch (T-5F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-

0001, or by Internet e-mail to infocollects.resource@nrc.gov, and to the Desk Officer, Office of 

Information and Regulatory Affairs, NEOB-10202 (3150-0200), Office of Management and 

Budget, Washington, DC 20503. If a means used to impose an information collection does not 

display a currently valid OMB control number, the NRC may not conduct or sponsor, and a 

person is not required to respond to, the information collection. 

1

Valid OMB clearance expiration dates are available at the Office of Information Service internal 

website, under Information Collections, Current NRC Clearance Status. 
Appendix G 

Comments Received 

STC-YY-NNN or RCPD-YY-NNN

STATE YES/DATE NO

ALABAMA 

ALASKA 

ARIZONA

ARKANSAS 

CALIFORNIA 

COLORADO 

CONNECTICUT 

DELAWARE

FLORIDA

GEORGIA 

HAWAII 

IDAHO 

ILLINOIS 

INDIANA

IOWA

KANSAS

KENTUCKY 

LOUISIANA 

MAINE 

MARYLAND 

MASSACHUSETTS

MICHIGAN 

MINNESOTA 

MISSISSIPPI

MISSOURI 

MONTANA 

NEBRASKA 

NEVADA

NEW HAMPSHIRE
Appendix G 

STATE YES/DATE NO

NEW JERSEY 

NEW MEXICO 

NEW YORK STATE HEALTH DEPT. 

NEW YORK CITY DEPT OF HEALTH

NEW YORK STATE DEPT OF 

ENVIRONMENTAL CONSERVATION

 

NYC DOH 

NORTH CAROLINA

NORTH DAKOTA

OHIO

OKLAHOMA

OREGON

PENNSYLVANIA 

PUERTO RICO 

RHODE ISLAND

SOUTH CAROLINA

SOUTH DAKOTA 

TENNESSEE 

TEXAS

TEXAS COMMISSION ON 

ENVIRONMENTAL QUALITY

UTAH 

VERMONT 

VIRGINIA

WASHINGTON

WEST VIRGINIA

WISCONSIN

WYOMING 

*Letters of Intent received from Governor