NTIS Limited Access Death Master File (LADMF) Accredited Conformity Assessment Body Systems Safeguards Attestation Form

NTIS Limited Access Death Master Files (LADMF) Systems Safeguards Attestation Forms

OMB: 0692-0016

IC ID: 225787

Information Collection (IC) Details

View Information Collection (IC)

NTIS Limited Access Death Master File (LADMF) Accredited Conformity Assessment Body Systems Safeguards Attestation Form
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NTIS FM100A NTIS Limited Access Death Master File (LADMF) Accredited Conformity Assessment Body Systems Safeguards Attestation Form NTIS Limited Access Death Master File (LADMF) Accredited Conformity Assessment Body Systems Safeguards Attestation Form.pdf Yes Yes Fillable Printable
Form and Instruction NTIS FM100B NTIS Limited Access Death Master File (LADMF) State or Local Government Auditor General (AG) or Inspector General (IG) Systems Safeguards Attestation Form NTIS Limited Access Death Master File (LADMF) State or Local Government Auditor General (AG) or Inspector General (IG) Systems Safeguards Attestation Form.pdf Yes Yes Fillable Printable

General Government Central Records & Statistical Mgt

 

280 0
   
Individuals or Households
 
   100 %

  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 280 0 -280 0 0 560
Annual IC Time Burden (Hours) 840 0 -840 0 0 1,680
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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