NDI - Early Release Fee Worksheet

Application Form and Related Forms for the Operation of the National Death Index

OMB: 0920-0215

IC ID: 239473

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Information Collection (IC) Details

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NDI - Early Release Fee Worksheet
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a NDI Early Release Fee Worksheet Att F2 Early Release Fee Worksheet 120619.xls Yes Yes Fillable Fileable

Health Public Health Monitoring

Vital Statistics for Births, Deaths, Fetal Deaths, Marriages and Divorces Occurring in the United States Each Year 09-20-0166  49 FR 37695

44 0
   
Individuals or Households
 
   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 44 0 44 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 60 0 60 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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