Annual Vital Statistics Occurence Report

National Vital Statistics Report Forms

OMB: 0920-0213

IC ID: 188714

Information Collection (IC) Details

View Information Collection (IC)

Annual Vital Statistics Occurence Report 16LU
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Annual Vital Statistics Occurrence Report Att D Annual Form.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

91 0
   
State, Local, and Tribal Governments
 
   90 %

  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 91 0 33 0 0 58
Annual IC Time Burden (Hours) 46 0 17 0 0 29
Annual IC Cost Burden (Dollars) 1,127 0 1,127 0 0 0

Title Document Date Uploaded
Att D_Current Approved Version 0920-0213 Att D Annual Form 012915.doc 02/11/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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