Application form and related forms for the operation of the National Death Index

Application form and related forms for the operation of the National Death Index

OMB: 0920-0215

IC ID: 6683

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Application form and related forms for the operation of the National Death Index
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC/NCHS-6205-1 Yes Yes
Form CDC-64.24 Yes Yes
Form PHS-6205-3 Yes Yes
Form CDC/NCHS-6205-6 Yes Yes
Form CDC-64.25 Yes Yes


    

120 0
   
Federal Government
 
   20 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 780 0 0 0 0 780
Annual IC Time Burden (Hours) 227 0 0 0 0 227
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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