Document Improvement Proposal

U.S. Department of Energy

DOE F 1300.3

OMB Control No.

(01-94)

1910-0900

OMB Burden Disclosure

(Instructions on Reverse)

Statement on Reverse

1. Document Number

2. Document Title

3a. Name of Submitting Organization

4. Type of Organization (Mark one)

Vendor

User

3b. Address (Street, City, Zip Code)

Manufacturer

Other (Specify:

)

5. Problem Areas (Attach extra sheets as needed.)

a. Paragraph Number and Wording

b. Recommended Wording

c. Reason/Rationale for Recommendation

6. Remarks

7a. Name of Submitter (Last, First, MI)

7b. Work Telephone Number (Include Area Code)

7c. Mailing Address (Street, City, State, Zip Code)

8. Date of Submission