Information Collection

Monthly Marriage & Divorce Statistical Report Forms/ Report On Marriages, Divorces & Annulments

IC 112174 under ICR 198006-0937-003 · OMB 0937-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0937-0002 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	MONTHLY MARRIAGE & DIVORCE STATISTICAL REPORT FORMS/ REPORT ON MARRIAGES, DIVORCES & ANNULMENTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HRA-27, 25,	No	No
Form	28, 86,	No	No
Form	& 26	No	No
Form	HRA-25	No	No
Form	HRA-27	No	No
Form	HRA-29	No	No
Form	HRA-26	No	No
Form	HRA-28	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,344	144	1,200
Annual IC Time Burden (Hours)	134	14	120
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.