Information Collection Request
NTIS Limited Access Death Master File (LADMF) Certification Form (Derived from the Social Security Administration's Death Master File)
ICR 202303-0692-002 · OMB 0692-0013 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0692-0013 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form NTIS FM161 NTIS Limited Access Death Master File Subscriber Certification Form |
Form | Modified | Missing upstream |
 0692-0013-NTIS-LADMF-CertificationForm-SupportingStatement_Final A.docx |
Supporting Statement A | Uploaded 2023-03-10 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 224474 |  NTIS Limited Access Death Master File Subscriber Certification Form |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOC/NTIS |
| OMB Control No | 0692-0013 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202001-0692-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |