OMB Control Header and Burden Statement

Cover Page E1.docx

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

OMB Control Header and Burden Statement

OMB: 0920-0215

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Cover Page – E1


OMB No. 0920-0215

Expiration Date:  xx/xx/2026



Notice – 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/information 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, MS D-74, Atlanta, GA 30333; ATTN: PRA (0920-0215).


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKing, Summer (CDC/DDPHSS/NCHS/OD)
File Modified0000-00-00
File Created2023-08-28

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