State Death Match - Electronic Death Registration

State Death Match Collections

OMB: 0960-0700

IC ID: 184084

Documents and Forms
Document Name
Document Type
Other-Internet Screens for EDR
Other-Internet Screens for EDR
Instruction
Instruction
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

State Death Match - Electronic Death Registration
 
No Modified
 
Voluntary
 
20 CFR 404.310-311 20 CFR 404.330-341 20 CFR 404.350-352 20 CFR 404.301 20 CFR 404.371 20 CFR 404.316 20 CFR 416.912

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens for EDR Death Screen Images.pdf Yes Yes Fillable Fileable Signable
Instruction Instructions and File Format for States' Use.docx No   Paper Only
Instruction DFSTATE Format.docx No   Fillable Fileable

Income Security General Retirement and Disability

 

48 0
   
State, Local, and Tribal Governments
 
   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 123,549,888 0 0 121,367,388 0 2,182,500
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 253,277,270 0 0 246,358,745 0 6,918,525

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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