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Page Title:
Record of Non-Goverment Standards Activity |
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|  Attachment 1
DOE- 1300. 2A
Page 1
5-19-92
OMB Control No.
U.S. DEPARTMENT OF ENERGY
DOE F 1300.2
(04-92)
RECORD OF NON-GOVERNMENT STANDARDS ACTIVITY
OMB Burden Disclosure
All Other Editions
Statement on Reverse
Are Obsolete
(See reverse side for instructions)
1. Type of Submission
u Revision of information previously submitted u (complete blocksof1-8i only)
Termination membership
Initial Submission
4. Organization Routing Symbol
2. Name (/ast, first, initial)
3. Title
5. Mailing Address
7. Office Telephone No.
4. Employment Status
()
u
u
Other (specify)
DOE Employee
FAX
(
)
8. COMPLETE THIS SECTION DOWN TO YOUR LEVEL OF STANDARDS ACTIVITY
8b. Membership/Administrative Fee (if any)
8a. Name of Non-Government Standards Body (NGSB)
$
8c. Estimated Number of Meetings Per Year
Country
8d. Name of Secretariat Organization (if different from NGSB)
8e. Name of Main Committee
8f. Type of Main Committee (check one)
u
Standards Management
Standards Writing
u
Standards Related
u
Other (specify)
Main Committee Number
8g. Name of Subcommittee
Subcommittee Number
8h. Name of Task or Working Group (WG)
Task or WG Number
8i. Other Activity if not listed above (specify)
Number.
10. Voting Status (check one)
9. Your position in the activity
u Voting
u Delegate
u Member u Vice Chair u Technical Advisor
u Nonvoting
u Secretary u Alternate Representative u Other (specify)
u Chair
13. Representation
12. Expiration Date of Membership (if any)
11. Date of Membership
u Other (specify)
u DOE
Date
15. Signature of Participant
14. Brief scope of the activity
Date
16., Signature of Approval
17. Title of Approving Official
Date
Keywords
18. Acknowledged
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