REPORT OF THE DEATH OF AN AMERICAN CITIZEN

ICR 198610-1405-001

OMB: 1405-0048

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
124247 Migrated
ICR Details
1405-0048 198610-1405-001
Historical Active 198306-1405-001
STATE/AFA
REPORT OF THE DEATH OF AN AMERICAN CITIZEN
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/29/1986
Retrieve Notice of Action (NOA) 10/07/1986
  Inventory as of this Action Requested Previously Approved
10/31/1989 10/31/1989
7,000 0 0
7,000 0 0
0 0 0

THE REPORT IS PREPARED BY A CONSULAR OFFICER AT A U.S. FOREIGN SERVICE POST. IT CONTAINS DATA ABOUT THE PERSON'S DEATH, DISPOSITION OF REMAINS, CUSTODY OF EFFECTS, ALL OF WHICH ARE FREQUENTL FOUND USEFUL BY THE DECEASED'S FAMILY, ATTORNEY AND SO FORTH, IN LEGAL OR OTHER PROCEEDINGS IN THE U.S. AND ABROAD. CODE OF FEDERAL REGULATIONS REQUIRES PREPARATION OF REPORT WHEN REPORTING DEATH OF U.S CITIZEN.

None
None


No

1
IC Title Form No. Form Name
REPORT OF THE DEATH OF AN AMERICAN CITIZEN 180

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,000 0 0 7,000 0 0
Annual Time Burden (Hours) 7,000 0 0 7,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/07/1986


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