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

ICR 201610-0692-001

OMB: 0692-0013

Federal Form Document

ICR Details
0692-0013 201610-0692-001
Historical Active 201411-0692-001
DOC/NTIS DY
NTIS Limited Access Death Master File (LADMF) Subscriber Certification Form (Derived from the Social Security Administration's Death Master File)
Revision of a currently approved collection   No
Regular
Approved without change 01/03/2017
Retrieve Notice of Action (NOA) 12/02/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved 12/31/2017
560 0 700
1,400 0 1,400
0 0 140,000

To collect information necessary to support the certification process required by Section 203 of the Bipartisan Budget Act of 2013 (Pub. L. 113-67) for members of the public to be given access to the Death Master File containing information about deceased persons during the three-calendar-year period after that person's death.

PL: Pub.L. 113 - 67 203 Name of Law: Bipartisan Budget Act of 2013
  
None

Not associated with rulemaking

  81 FR 66256 09/27/2016
81 FR 84559 11/23/2016
No

  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 560 700 0 560 -700 0
Annual Time Burden (Hours) 1,400 1,400 0 1,400 -1,400 0
Annual Cost Burden (Dollars) 0 140,000 0 0 -140,000 0
Yes
Miscellaneous Actions
No
Changes were made to bring the form into compliance as a result of the proposed rule.

$882,000
No
No
No
No
No
Uncollected
John Hounsell 703 605-6184 [email protected]

  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.
12/02/2016


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