Date:
To: Chairman, Defense Nuclear Facilities Safety Board
From: Department of Energy Point of Contact (Print/Signature)
Subject: Board Information Request
Reference: Information Request, dated ____________________
The above-referenced Information Request provided a list of information requested from the
Department of Energy by the Board or its staff. The requested information is forwarded except
as noted below (can be handwritten).
a. The following requested items contain classified information or sensitive unclassified
information. They will not be forwarded until a need-to-know is confirmed by the Board
Technical Director. (list item numbers from referenced Information Request)
| _____________________________________________________________ |
| _____________________________________________________________ |
b. Item numbers of information to be provided at a later date. (list item numbers from
referenced Information Request, reasons for delay, and expected delivery date)
| ______________________________________________________________ |
| ______________________________________________________________ |
Comments or amplifying information.
| ______________________________________________________________ |
| ______________________________________________________________ |
If you have any questions, please contact. (list name and phone number)
| ______________________________________________________________ |
