Electronic Death Registration Survey

ICR 200112-0960-002

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
9643
Migrated
ICR Details
0960-0625 200112-0960-002
Historical Inactive 200007-0960-009
SSA
Electronic Death Registration Survey
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 01/30/2002
Retrieve Notice of Action (NOA) 12/05/2001
Withdrawn at the request of Liz Davidson at SSA in order to continue working on outstanding issues.
  Inventory as of this Action Requested Previously Approved
02/28/2002 01/31/2005 02/28/2002
55 0 55
110 0 0
0 0 0

Section 205(R) requires SSA to enter into agreements with States to obtain death records. Sections 202(a)(1)-(h)(1) require SSA to terminate Retirement, Survivors and Disability benefits upon the death of the beneficiary. This survey will measure the States' readiness to implement electronic death registration processes which will result in SSA getting death information more timely and accurately to terminate benefits as required by law.

None
None


No

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

No
Yes

$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.
12/05/2001


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