NDI Fee Worksheet

---

Overview

2017 FEE WORKSHEET
2014 EXAMPLE

---

Sheet 1: 2017 FEE WORKSHEET

NDI FEE WORKSHEET (for calculations through 2017)
CDC estimates the average public reporting burden for this collection of information as 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office; 1600 Clifton Road NE, MS D–74, Atlanta, GA 33033, ATTN: PRA (0929–0215).
NDI Plus Search: UNKNOWN Vital Status
First Year Searched	Last Year Searched	Number of Years Searched		Number of Subjects		NDI Fee*		NDI Charge
1979	2017	39	X	0	X	$0.21	=	$0.00
1980	2017	38	X	0	X	$0.21	=	$0.00
1981	2017	37	X	0	X	$0.21	=	$0.00
1982	2017	36	X	0	X	$0.21	=	$0.00
1983	2017	35	X	0	X	$0.21	=	$0.00
1984	2017	34	X	0	X	$0.21	=	$0.00
1985	2017	33	X	0	X	$0.21	=	$0.00
1986	2017	32	X	0	X	$0.21	=	$0.00
1987	2017	31	X	0	X	$0.21	=	$0.00
1988	2017	30	X	0	X	$0.21	=	$0.00
1989	2017	29	X	0	X	$0.21	=	$0.00
1990	2017	28	X	0	X	$0.21	=	$0.00
1991	2017	27	X	0	X	$0.21	=	$0.00
1992	2017	26	X	0	X	$0.21	=	$0.00
1993	2017	25	X	0	X	$0.21	=	$0.00
1994	2017	24	X	0	X	$0.21	=	$0.00
1995	2017	23	X	0	X	$0.21	=	$0.00
1996	2017	22	X	0	X	$0.21	=	$0.00
1997	2017	21	X	0	X	$0.21	=	$0.00
1998	2017	20	X	0	X	$0.21	=	$0.00
1999	2017	19	X	0	X	$0.21	=	$0.00
2000	2017	18	X	0	X	$0.21	=	$0.00
2001	2017	17	X	0	X	$0.21	=	$0.00
2002	2017	16	X	0	X	$0.21	=	$0.00
2003	2017	15	X	0	X	$0.21	=	$0.00
2004	2017	14	X	0	X	$0.21	=	$0.00
2005	2017	13	X	0	X	$0.21	=	$0.00
2006	2017	12	X	0	X	$0.21	=	$0.00
2007	2017	11	X	0	X	$0.21	=	$0.00
2008	2017	10	X	0	X	$0.21	=	$0.00
2009	2017	9	X	0	X	$0.21	=	$0.00
2010	2017	8	X	0	X	$0.21	=	$0.00
2011	2017	7	X	0	X	$0.21	=	$0.00
2012	2017	6	X	0	X	$0.21	=	$0.00
2013	2017	5	X	0	X	$0.21	=	$0.00
2014	2017	4	X	0	X	$0.21	=	$0.00
2015	2017	3	X	0	X	$0.21	=	$0.00
2016	2017	2	X	0	X	$0.21	=	$0.00
2017	2017	1	X	0	X	$0.21	=	$0.00
			Subtotal	0			Subtotal	$0.00
* Use $0.15 per year if you are only doing a ROUTINE NDI search.
NDI Plus Search: KNOWN Decedents
				Number of Subjects		NDI Fee		NDI Charge
Death certificates have NOT been obtained				0	X	$5.00	=	$0.00
Death certificates have been obtained				0	X	$2.50	=	$0.00
			Subtotal	0			Subtotal	$0.00
			Total Records	0
Service Charge:
$350 for INITIAL search or $100 for REPEAT searches							Service Charge**	$0.00
** This charge covers all files submitted at one time.							Total	$0.00

---

Sheet 2: 2014 EXAMPLE

NDI FEE WORKSHEET (for calculations through 2014) -- EXAMPLE
NDI Plus Search: UNKNOWN Vital Status
First Year Searched	Last Year Searched	Number of Years Searched		Number of Subjects		NDI Fee*		NDI Charge
1979	2014	36	X	20	X	$0.21	=	$151.20
1980	2014	35	X	65	X	$0.21	=	$477.75
1981	2014	34	X	0	X	$0.21	=	$0.00
1982	2014	33	X	20	X	$0.21	=	$138.60
1983	2014	32	X	2	X	$0.21	=	$13.44
1984	2014	31	X	0	X	$0.21	=	$0.00
1985	2014	30	X	0	X	$0.21	=	$0.00
1986	2014	29	X	0	X	$0.21	=	$0.00
1987	2014	28	X	0	X	$0.21	=	$0.00
1988	2014	27	X	0	X	$0.21	=	$0.00
1989	2014	26	X	45	X	$0.21	=	$245.70
1990	2014	25	X	0	X	$0.21	=	$0.00
1991	2014	24	X	300	X	$0.21	=	$1,512.00
1992	2014	23	X	239	X	$0.21	=	$1,154.37
1993	2014	22	X	100	X	$0.21	=	$462.00
1994	2014	21	X	30	X	$0.21	=	$132.30
1995	2014	20	X	20	X	$0.21	=	$84.00
1996	2014	19	X	40	X	$0.21	=	$159.60
1997	2014	18	X	0	X	$0.21	=	$0.00
1998	2014	17	X	0	X	$0.21	=	$0.00
1999	2014	16	X	500	X	$0.21	=	$1,680.00
2000	2014	15	X	400	X	$0.21	=	$1,260.00
2001	2014	14	X	350	X	$0.21	=	$1,029.00
2002	2014	13	X	460	X	$0.21	=	$1,255.80
2003	2014	12	X	230	X	$0.21	=	$579.60
2004	2014	11	X	490	X	$0.21	=	$1,131.90
2005	2014	10	X	600	X	$0.21	=	$1,260.00
2006	2014	9	X	566	X	$0.21	=	$1,069.74
2007	2014	8	X	650	X	$0.21	=	$1,092.00
2008	2014	7	X	700	X	$0.21	=	$1,029.00
2009	2014	6	X	780	X	$0.21	=	$982.80
2010	2014	5	X	215	X	$0.21	=	$225.75
2011	2014	4	X	144	X	$0.21	=	$120.96
2012	2014	3	X	76	X	$0.21	=	$47.88
2013	2014	2	X	63	X	$0.21	=	$26.46
2014	2014	1	X	55	X	$0.21	=	$11.55
			Subtotal	7160			Subtotal	$17,333.40
* Use $0.15 per year if you are only doing a ROUTINE NDI search.
NDI Plus Search: KNOWN Decedents
				Number of Subjects		NDI Fee		NDI Charge
Death certificates have NOT been obtained				100	X	$5.00	=	$500.00
Death certificates have been obtained				500	X	$2.50	=	$1,250.00
			Subtotal	600			Subtotal	$1,750.00
			Total Records	7760
Service Charge:
$350 for INITIAL search or $100 for REPEAT searches							Service Charge**	$350.00
** This charge covers ALL files submitted at one time.							Total	$19,433.40