National Technical Information Service, Limited Access Death Master File (Derived from the Social Security Administration Death Master File) Subscriber Certification Form

Limited Access Death Master File Subscriber Certification Form (Derived from the Social Security Administration's Death Master File)

OMB: 0692-0013

IC ID: 210702

Information Collection (IC) Details

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National Technical Information Service, Limited Access Death Master File (Derived from the Social Security Administration Death Master File) Subscriber Certification Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NTIS FM161 Limited Access Death Master File DMF_certification_v19.pdf Yes Yes Fillable Printable

General Government Central Records & Statistical Mgt

 

700 0
   
Individuals or Households
 
   0 %

  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 700 0 700 0 0 0
Annual IC Time Burden (Hours) 1,400 0 1,400 0 0 0
Annual IC Cost Burden (Dollars) 140,000 0 140,000 0 0 0

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