Electronic Death Registration Survey

ICR 200007-0960-009

OMB: 0960-0625

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
9642
Migrated
ICR Details
0960-0625 200007-0960-009
Historical Active
SSA
Electronic Death Registration Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/07/2000
Retrieve Notice of Action (NOA) 07/31/2000
  Inventory as of this Action Requested Previously Approved
11/30/2001 11/30/2001
55 0 0
110 0 0
0 0 0

SSA entered into a contract with the National Association for Public Health Statistics and Information Systems to foster the adoption of a standardized form of EDR throughout the country. The planned survey is to provide a current picture of the readiness of the States to adopt EDR. This will assist SSA to direct available funding in future years to those States that demonstrate sufficient resources to implement EDR within the contract timeframe. Respondents to the survey will be officials from States, U.S. Territories and the city of New York.

None
None


No

1
IC Title Form No. Form Name
Electronic Death Registration Survey

  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 55 0 0 55 0 0
Annual Time Burden (Hours) 110 0 0 110 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.
07/31/2000


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