National Vital Statistics Report Forms

OMB 0920-0213

OMB 0920-0213

These are the data collection forms used by State and/or county vital registration offices to report to the Federal government (a) provisional counts of births, deaths, and infant deaths at the end of each month and (b) annual counts of marriages and divorces/annulments in support of the National Vital Statistics System.

The latest form for National Vital Statistics Report Forms expires 2023-10-31 and can be found here.

All Historical Document Collections
Approved without change
Revision of a currently approved collection 2022-05-17
Approved without change
Extension without change of a currently approved collection 2020-08-24
Approved without change
Revision of a currently approved collection 2018-03-27
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-02-12
Approved without change
Extension without change of a currently approved collection 2015-03-06
Approved without change
Extension without change of a currently approved collection 2012-02-29
Approved without change
Reinstatement with change of a previously approved collection 2009-04-07
Approved without change
Extension without change of a currently approved collection 2006-01-04
Approved without change
Extension without change of a currently approved collection 2003-02-25
Approved without change
Revision of a currently approved collection 2000-02-01
Approved without change
Extension without change of a currently approved collection 1996-07-25
Approved without change
Extension without change of a currently approved collection 1993-07-07
Approved without change
Reinstatement with change of a previously approved collection 1990-09-27
Approved without change
Revision of a currently approved collection 1988-02-05
OMB Details

Monthly Vital Statistics Report

Federal Enterprise Architecture: Health - Public Health Monitoring

Form noneMonthly VItal Statistics ReportFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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