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NRC FORM 781 (07-2013) U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NOs. 3150-0053, 3150-0209 SBCR COMPLIANCE REVIEW PART A EXPIRES: 07/31/2016 Estimated burden per response to comply with.

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How to fill out the Form 781 online

Filling out the Form 781 online is an essential process for individuals and organizations seeking compliance with the U.S. Nuclear Regulatory Commission's requirements. This guide will walk you through the necessary steps to accurately complete the form, ensuring that you meet all mandatory data collection and compliance standards.

Follow the steps to complete your Form 781 online effectively.

  1. Click 'Get Form' button to obtain the form and open it in the online editor.
  2. In Part A, provide your name and the application for in the designated fields. Ensure all required information is complete to avoid processing delays.
  3. For Program/Contract Services, detail the manner in which services will be provided, including any data necessary for compliance regarding discrimination issues.
  4. In Program Contract Population Served, identify the geographic locations where your services will be available. Be specific about regions and areas.
  5. When addressing the Collection of EO Data, explain how your program will track and maintain essential information about the population served.
  6. In the Limited English Proficiency section, provide insights on how you will ensure effective participation of beneficiaries who require language assistance.
  7. Identify any existing or proposed facilities related to the program in the corresponding section. This includes information that could impact access for individuals from protected classes.
  8. In the Organizational Membership section, record the diversity of your planning or advisory body without naming individuals.
  9. If applicable, describe any changes to locations and outline the measures taken to minimize impacts on individuals from protected classes.
  10. Complete Parts B and C by answering the yes/no questions regarding compliance with discrimination and Title IX regulations, providing necessary details about your organization.
  11. Finally, review your completed form carefully, save your changes, and prepare for submission by downloading, printing, or sharing your form electronically.

Begin completing your Form 781 online today to ensure compliance with NRC standards.

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A copy of a government issued marriage certificate AND one of the following documents: A copy of the first page of the most recent federal or state tax return confirming the dependent as your spouse.

Summary. To ensure only eligible dependents of CSU employees are enrolled in employer-sponsored health coverage, California Government Code Section 22843.1 requires your employer to verify the eligibility of your dependent(s) at least once every three years.

A Dependent Eligibility Verification (DEV) is simply the process by which you verify the relationship between the participant and their dependents to ensure they should in fact be eligible for coverage. Most participants do not intentionally carry ineligible dependents, they simply do not understand plan rules.

Dependent verification protects the health plan from ineligible dependents, helping plan sponsors ensure their health plan is compliant and that benefit dollars are only being spent on participants who are eligible, keeping health care costs down for everyone.

Dependent Eligibility Verification (DEV) is the process of re-verifying the eligibility of your spouse, domestic partner, children, stepchildren, and domestic partner children (dependents) enrolled in health and/or dental benefits.

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