Approved for use
through 10/2001 with the understanding that NCHS will formally
submit for PRA review any revisions to these forms, including the
anticipated amendments to the National Death Index Application
Form.
Inventory as of this Action
Requested
Previously Approved
11/30/2001
11/30/2001
10/31/1998
780
0
780
227
0
227
0
0
0
Researchers apply to use the National
Death Index (NDI) to determine whether persons in their studies
have died and to obtain the States of death and death certificate
numbers of the decedents. The five administrative forms are
completed by researchers in order to apply for NDI services and to
submit records of study subjects for computer matching against the
NDI file.
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.