NCHS: National Vital Statistics Report Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NVSReport Att E FR notice.pdf	Supplementary Document	Uploaded 2009-01-30	Repair queued
NVSReport Att. C.pdf	Supplementary Document	Uploaded 2009-01-30	Available
NVSReport Att A LegisAuth.pdf	Supplementary Document	Uploaded 2009-01-30	Available
NVSR Att N IRB letter.doc	Supplementary Document	Uploaded 2009-01-30	Available
NVSR Att M resp to REHDC.doc	Supplementary Document	Uploaded 2009-01-30	Available
NVSR Att L resp to Casey.doc	Supplementary Document	Uploaded 2009-01-30	Available
NVSR Att K resp to Friends of NCHS.doc	Supplementary Document	Uploaded 2009-01-30	Available
NVSR Att J resp to NAPHSIS (2).doc	Supplementary Document	Uploaded 2009-01-30	Available
NVSR_Sup_Stat_A__Reins_032609.doc	Supporting Statement A	Uploaded 2009-03-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6670	NCHS: National Vital Statistics Report Forms -- line 1 -- Monthly Form	Other-WORD	Modified
188714	NCHS: National Vital Statistics Report Forms -- line 2-- Annual Form	Other-WORD	New

ICR Details

OMB Control No: 0920-0213	ICR Reference No: 200904-0920-007
Status: Historical Active	Previous ICR Reference No: 200601-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: NCHS: National Vital Statistics Report Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/27/2009
	Date Received in OIRA: 04/07/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved
Responses	1,150	0	0
Time Burden (Hours)	211	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This project is the collection of monthly and annual counts of Vital Statistics data from states and other jurisdictions. Vital Statistics data are widely used by the health and behavioral science communities in survellance and in tracking trends, by the private sector for marketing purposes, and by academia for health and demographic research. State and national data are required by the Census Bureau to prepare annual population estimates and projections.

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Authorizing Statute(s): US Code: 42 USC 242k Name of Law: Public Health Service
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 64336	10/29/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 13435	03/27/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
NCHS: National Vital Statistics Report Forms -- line 1 -- Monthly Form
NCHS: National Vital Statistics Report Forms -- line 2-- Annual Form

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ICR Summary of Burden

table that charts list of burden

	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	1,150	0	0	1,150	0	0
Annual Time Burden (Hours)	211	0	0	211	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has been increased by 3 hours. Previously there were two questionnaires collecting the same data. They were combined into one questionnaire, resulting in a slightly different total burden.

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Annual Cost to Federal Government: $202,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/07/2009

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