APPROVED BY OMB: NO. 3150-0166 Estimated burden per response to comply with this information collection request: 3.3 hours. This uniform manifest is required by NRC to meet reporting requirements of Federal and State Agencies for the safe transportation and disposal of low-level waste. 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, 

(3150-0166), 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.

NRC FORM 541 U.S. NUCLEAR REGULATORY COMMISSION

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST 

CONTAINER AND WASTE DESCRIPTION

See NUREG/BR-0204 for detailed instructions for completing this form: 

http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/

NRC FORM 541 (04-26-2023)

Additional Nuclear Regulatory Commission (NRC) Requirements for Control, Transfer and Disposal of Radioactive Waste

1. Manifest Totals 2. Manifest Number

No. of Pkgs/ 

Disposal 

Containers

Net Waste 

Volume 

(m ) 3

Net Waste Special Nuclear Material (grams)

Weight 

(kg) U-233 U-235 Pu Total

Activity (MBq)

All Nuclides Tritium C-14 Tc-99 I-129

Source (kg)

 3. Page of Page(s)

4. Shipper Name

 Shipper ID Number

Disposal Container Description

 5. Container 

Identification 

Number/Generator 

ID Number(s)

 6. Container 

 Description 

 (See Note 1)

 7. Volume 

 (m ) 3

 8. Waste 

 and 

 Container 

 Weight (kg) 

 9. Waste 

 Weight 

 (kg) 

 10. Surface 

 Radiation Level 

(μSv/hr)

(mSv/hr)

 11. Surface 

 Contamination 

 MBq/100 cm 2

Alpha BetaGamma

 12. Waste 

 Descriptor 

(See Note 2)

13. Approximate 

Waste 

Volume(s) in 

Container

 14. Sorbent 

Solidification, 

Stabilization, 

Media (See Note 3)

Physical Description 15. Chemical Description

Chemical Form/ 

Chelating Agent

Weight 

% Chelating 

Agent if > 0.1%

16. Radiological Description

Individual Radionuclides and Activity 

 (MBq) and Container Total; or Container 

Total Activity and Radionuclide Percent

17. Waste Class 

AS-Class A Stable 

AU-Class A Unstable 

B-Class B 

C-Class C 

 1. Wooden Box or Crate

 2. Metal Box

 3. Plastic Drum or Pail

 4. Metal Drum or Pail

 5. Metal Tank or Liner

 6. Concrete Tank or Liner

 7. Polyethylene Tank or Liner

20. Charcoal

21. Incinerator Ash

22. Soil

23. Gas

25. Aqueous Liquid

28. EPA or State Hazardous

Sorption

NOTE 1: Container Description Codes. For containers/ waste 

requiring disposal in approved structural overpacks, the numerical 

code should be followed by "-OP."

10. Gas Cylinder

11. Bulk Unpackaged Waste

12. Unpackaged Components

13. High Integrity Container

19. Other. Describe in item 6, 

 or additional page

31. Anion Ion-exchange Media

32. Mixed Bed Ion-exchange Media

26. Filter Media 37. Paint or Plating

33. Contaminated Equipment

34. Organic Liquid (except oil)

35. Glassware or Labware

36. Sealed Source/Device

68. Solid A Sorb

41. Animal 

 Carcass

42. Biological 

Material (except 

animal carcass)

43. Activated 

 Material

NOTE 2: Waste Descriptor Codes. (Choose up to three which predominate by volume.)

59. Other. 

Describe in item 

12, or additional 

page

67. Florco X

69. Chemsil 30

70. Chemsil 50

71. Chemsil 3030

72. Dicaperl HP200

73. Dicaperl HP500

74. Petroset

91. Concrete (encapsulation)

92. Bitumen

93. Vinyl Chloride

94. Vinyl Ester Styrene

99. Other. Describe in item 14, 

or additional page

100. None Required

60. Speed Dri

61. Celetom

62. Floor Dry/ 

 Superfine

63. High Dri

64. Safe T Sorb

65. Safe N Dri

66. Florco

90. Cement

Solidification

 8. Fiberglass Tank or Liner

 9. Demineralizer 29. Demolition Rubble 

24. Oil

27. Mechanical Filter

75. Petroset II

76. Aquaset

77. Aquaset II

89. Other. Describe in item 14, 

 or additional page 

NOTE 3: For solidification media that meet disposal site structural stability requirements, the numerical code 

should be followed by "-S." 

For all solidification media, the vendor (manufacturer) and brand name should also be identified in item 14. Code 

100=NONE REQUIRED.

30. Cation Ion-exchange Media 40. Noncompactible Trash

39. Compactible Trash

38. Evaporator Bottoms/ 

 Sludges/Concentrates

Waste Description for Each Waste Type in Container

(04-26-2023)