ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS

ICR 198006-0937-004

OMB: 0937-0001

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
112170 Migrated
ICR Details
0937-0001 198006-0937-004
Historical Active 198005-0937-003
HHS/OASH
ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS
Revision of a currently approved collection   No
Regular
Approved without change 06/19/1980
Retrieve Notice of Action (NOA) 06/02/1980
  Inventory as of this Action Requested Previously Approved
05/31/1985 05/31/1985 08/31/1980
60 0 60
26 0 60
0 0 0

THIS REPORT PROVIDES COUNTS OF EVENTS IN REGISTRATION AREAS DURING A CALENDAR YEAR. IT IS USED BY NCHS AS A BASIS FOR NATIONWIDE COUNTS OF MARRIAGES AND DIVORCES, NOT AVAILABLE FROM ANY OTHER SOURCE.

None
None


No

1
IC Title Form No. Form Name
ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS HRA30-1;, HRA 30-2

  Total Approved 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 60 60 0 0 0 0
Annual Time Burden (Hours) 26 60 0 0 -34 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
06/02/1980


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