National Vital Statistics Report Forms

ICR 202203-0920-008

OMB: 0920-0213

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form
Removed
Supplementary Document
2022-05-13
Supplementary Document
2022-05-13
Supplementary Document
2022-05-13
Supporting Statement B
2022-05-13
Supporting Statement A
2022-05-16
IC Document Collections
IC ID
Document
Title
Status
6670 Modified
188714 Removed
ICR Details
0920-0213 202203-0920-008
Received in OIRA 202008-0920-006
HHS/CDC 0920-0213
National Vital Statistics Report Forms
Revision of a currently approved collection   No
Regular 05/17/2022
  Requested Previously Approved
36 Months From Approved 10/31/2023
91 787
46 139
300 3,424

The Annual Vital Statistics Report Form is used by State and/or county vital registration offices to report annual counts of marriages, and divorces/annulments to the Federal government in support of the National Vital Statistics System. The birth, death, and infant death counts from states and territories are now arriving via electronic files either daily or weekly.

US Code: 42 USC 242k Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  87 FR 976 01/07/2022
87 FR 29318 05/13/2022
No

1
IC Title Form No. Form Name
Monthly Vital Statistics Report 0920-0213 Annual Vital Statistics Occurance Report
Annual Vital Statistics Report none Annual Vital Statistics Form

  Total Request 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 91 787 0 -696 0 0
Annual Time Burden (Hours) 46 139 0 -93 0 0
Annual Cost Burden (Dollars) 300 3,424 0 -3,124 0 0
No
Yes
Changing Forms
NCHS is requesting 46 total burden hours. Decrease of 93 hours because of the revision to discontinue the use of the monthly report for birth, death, and infant death.

$100,000
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Thelma Sims 4046394771

  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.
05/17/2022


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