0692-0013-NTIS-LADMF-CertificationForm-SupportingStatement_Final A

0692-0013-NTIS-LADMF-CertificationForm-SupportingStatement_Final A.docx

NTIS Limited Access Death Master File (LADMF) Certification Form (Derived from the Social Security Administration's Death Master File)

OMB: 0692-0013