NDI Sup St B_01152020

Supporting Statement B for Request for Clearance:

Application Form and Related Forms for the

Operation of the National Death Index

Reinstatement with Change

OMB No.0920-0215

(Expiration date 12/31/2019)

Contact Information:

Lillian Ingster, Ph.D.

Director, National Death Index

Division of Vital Statistics

National Center for Health Statistics

3311 Toledo Road, Cubicle 5277

Hyattsville, Maryland 20782

Phone: 301-458-4286

Email: [email protected]

January 15, 2020

B. Collections of Information Employing Statistical Methods

This collection of information is for administrative purposes and does not employ any statistical methods. It includes the application form(s), repeat request form, transmittal form(s) and the fee worksheets utilized in the operation of the National Death Index (NDI) program. The NDI is a central, computerized index of death record information designed to assist in the mortality ascertainment activities of investigators conducting prospective and retrospective studies in health and medical research. Typically investigators are based in academic institutions or units of state, local, or territorial health departments.

The NDI contains identifying information on all U.S. decedents since 1979 and is compiled from computer files submitted to NCHS by the jurisdiction (states and territories) vital statistics offices via contractual agreements.

Investigators use the NDI to determine whether persons in their studies may have died. If so, the NDI user is provided with the names of jurisdictions in which the deaths occurred and the corresponding death certificate numbers. The NDI user then arranges to procure copies of death certificates from the jurisdiction vital statistics offices in order to obtain such statistical information as cause of death. NDI users can avoid procuring copies of certificates if they opt for the NDI Plus service which provides users with the cause of death information in coded form.

Person responsible for system:

Lillian Ingster, Ph.D.

Director, National Death Index

Division of Vital Statistics

National Center for Health Statistics

3311 Toledo Road, Cubicle 5277

Hyattsville, Maryland 20782

Phone: 301-458-4286

Email: [email protected]

ATTACHMENTS TO SUPPORTING STATEMENT FOR OMB CLEARANCE REQUEST

A - Section 306 of the Public Health Service Act 42 USC 243k.

B - National Death Index Application Form

C - Request for a Repeat NDI File Search

D - NDI User Data Transmittal Form

E1 - 60-Day Federal Register Notice

E2- Comment to 60 Day Federal Register Notice

F - National Death Index Advisers

G – NCHS ERB letter

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