Unclassified Controlled Nuclear Information Not for Public Dissemination
Unauthorized dissemination subject to civil and criminal sanctions under section 148 of the Atomic Energy Act of 1954, as amended (42 U.S.C. 2168 ) .
Reviewing Official:
_______________________________
(Name/Organization)
Date: _______________________________
Guidance Used:_______________________________
Not for Public Dissemination May contain Unclassified Controlled Nuclear Information subject to section 148 of the Atomic Energy Act of 1954 (42 U.S.C. 2168 ) . Approval by the Department of Energy prior to release is required.
10 C.F.R. §1017.16