Form 10 CFR 50.55a 10 CFR 50.55a

APPROVED BY OMB NO. 3150-0244

EXPIRES: 8/31/2025

Estimated burden per response to comply with this voluntary collection request: 2 hours. This form is used to submit
requests for an alternative under Title 10 of the Code of Federal Regulations (10 CFR) Section 50.55a(z),
“Alternatives to codes and standards requirements.” 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 e-mail to Infocollects.Resource@nrc.gov, and the OMB reviewer at: OMB Office of Information and Regulatory
Affairs, (3150-0244), 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.