MONTHLY VITAL STATISTICS REPORT FORMS

ICR 199009-0920-002

OMB: 0920-0213

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
110875 Migrated
ICR Details
0920-0213 199009-0920-002
Historical Active 198802-0920-007
HHS/CDC
MONTHLY VITAL STATISTICS REPORT FORMS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/09/1990
Retrieve Notice of Action (NOA) 09/27/1990
  Inventory as of this Action Requested Previously Approved
10/31/1993 10/31/1993
1,968 0 0
197 0 0
0 0 0

MONTHLY VITAL STATISTICS AT THE STATE AND NATIONAL LEVEL ARE REQUIRED BY THE BUREAU OF THE CENSUS IN THE PREPARATION OF POPULATION ESTIMATES AND PROJECTIONS. THEY ARE WIDELY USED BY THE HEALTH COMMUNITY IN TRACKING TRENDS, AND BY THE PUBLIC SECTOR FOR MARKETING AND RESEARCH PURPOSES.

None
None


No

1
IC Title Form No. Form Name
MONTHLY VITAL STATISTICS REPORT FORMS PHS-6275, 6275A, 6275B, C, D

  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 1,968 0 0 0 1,968 0
Annual Time Burden (Hours) 197 0 0 0 197 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.
09/27/1990


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