ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS

ICR 198802-0920-005

OMB: 0920-0211

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
110868 Migrated
ICR Details
0920-0211 198802-0920-005
Historical Active 198706-0937-001
HHS/CDC
ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS
Extension without change of a currently approved collection   No
Regular
Approved without change 02/05/1988
Retrieve Notice of Action (NOA) 02/05/1988
  Inventory as of this Action Requested Previously Approved
08/31/1990 08/31/1990
60 0 0
60 0 0
0 0 0

ANNUAL FINAL COUNTS OF MARRIAGES AND DIVORCES ARE ESSENTIAL TO NCHS AN THE BUREAU OF THE CENSUS IN EVALUATING VALIDITY OF INPUT TO OTHER ACTIVITIES, TO THE SOCIAL SECURITY ADMINISTRATION IN PROJECTING PROGRA PLANS, AND TO A WIDE COMMUNITY OF OTHER KNOWN USERS.

None
None


No

1
IC Title Form No. Form Name
ANNUAL MARRIAGE AND DIVORCE STATISTICAL REPORT FORMS PHS-6277, 6277-1, 2, 6276,, 6276-1 & 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 0 0 0 60 0
Annual Time Burden (Hours) 60 0 0 0 60 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.
02/05/1988


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