NDI - Fee Worksheet

[NCHS] Application Form and Related Forms for the Operation of the National Death Index

OMB: 0920-0215

IC ID: 239467

Information Collection (IC) Details

View Information Collection (IC)

NDI - Fee Worksheet
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a NDI Fee Worksheet Att E1 NDI FEE WORKSHEET(2020).xls Yes Yes Fillable Fileable

Health Public Health Monitoring

Vital Statistics for Births, Deaths, Marriages and Divorces Occurring in the United States Each Year 09-20-0166  49 FR 37695

450 0
   
Individuals or Households
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 450 0 234 0 0 216
Annual IC Time Burden (Hours) 113 0 59 0 0 54
Annual IC Cost Burden (Dollars) 0 0 -2,226 0 0 2,226

Title Document Date Uploaded
OMB Control Header and Burden Statement Cover Page E1.docx 02/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy