Approval is
granted to not require the display of the form expiration date
because the Age Search Forms are kept in stock at many places
outside of the Bureau.
Inventory as of this Action
Requested
Previously Approved
06/30/2004
06/30/2004
07/31/2001
11,106
0
11,899
1,775
0
1,629
266,000
0
0
The Age Search is a service provided
by the Census Bureau for persons who need transcripts of personal
data as proof of age for pensions, retirement plans, medicare, or
social security benefits. Transcripts are also used for proof of
citizenship to obtain passports or to provide evidence of family
relationship for rights of inheritance. The Age Search forms gather
informa- tion necessary for the Census Bureau to make a search of
its historical population census records in order to provide the
requested transcript.
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.