State Death Match - Manual - Non-EDR Records from EDR sites

State Death Match Collections

OMB: 0960-0700

IC ID: 9754

Documents and Forms
Information Collection (IC) Details

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State Death Match - Manual - Non-EDR Records from EDR sites
 
No Modified
 
Voluntary
 
20 CFR 404.301 20 CFR 404.371 20 CFR 404.310-311 20 CFR 404.350-352 20 CFR 404.316 20 CFR 404.330-341 20 CFR 416.912

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Instructions and File Format for States' Use.docx No   Paper Only
Instruction DFSTATE Format.docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

39 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 2,676,219 0 0 2,509,719 0 166,500
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 2,355,073 0 0 2,208,553 0 146,520

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