Information Collection

Annual Marriage And Divorce Statistical Report Forms

IC 112172 under ICR 198706-0937-001 · OMB 0937-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	6276-1 & 2	No	No
Form	6276,	No	No
Form	PHS-6277	No	No
Form	6277-1, 2	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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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