1986 NATIONAL MORTALITY FOLLOWBACK SURVEY

ICR 198602-0937-001

OMB: 0937-0144

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
112384
Migrated
ICR Details
0937-0144 198602-0937-001
Historical Active 198411-0937-001
HHS/OASH
1986 NATIONAL MORTALITY FOLLOWBACK SURVEY
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/29/1986
Retrieve Notice of Action (NOA) 02/28/1986
  Inventory as of this Action Requested Previously Approved
02/28/1988 02/28/1988
16,108 0 0
7,515 0 0
0 0 0

EFFECTIVE PROGRAMS TO PREVENT PREMATURE DEATH AND TO FINANCE AND PROVIDE CARE FOR THE SERIOUSLY ILL, REQUIRE COMPREHENSIVE KNOWLEDGE ABOUT THE CHARACTERISTICS OF DECEDENTS IN THE U.S. THE SURV WILL SECURE SUCH INFORMATION FROM THE NEXT OF KIN OF A NATIONAL SAMPLE OF DECEDENTS IN 1986.

None
None


No

1
IC Title Form No. Form Name
1986 NATIONAL MORTALITY FOLLOWBACK SURVEY

  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 16,108 0 0 16,108 0 0
Annual Time Burden (Hours) 7,515 0 0 7,515 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
02/28/1986


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