Information Collection Request
NTIS Limited Access Death Master Files (LADMF) Systems Safeguards Attestation Forms
ICR 202401-0692-001 · OMB 0692-0016 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form NTIS FM100A NTIS Limited Access Death Master File (LADMF) Accredited Conformity Assessment Body Systems Safeguards Attestation Form |
Form and Instruction | Unchanged | Repair queued |
 0692-0015-NTIS-Notes OMB NTIS CDIA 100417.docx |
Supplementary Document | Uploaded 2017-10-06 | Repair queued |
 NTIS DMF PIA SAOP Approved 031517.pdf |
Supplementary Document | Uploaded 2017-07-14 | Repair queued |
| 0692-XXXX-Emergency-NTIS-LADMF-AttestationForms-DRAFT-NTIS-1_SORN_v0-6.docx |
Supplementary Document | Uploaded 2017-01-04 | Repair queued |
| 0692-XXXX-Emergency-NTIS-LADMF-AttestationForms-DRAFT-DMF-Cert-PIA_v0-4.docx |
Supplementary Document | Uploaded 2017-01-04 | Repair queued |
| 0692-0016-NTIS-LADMF-AttestationForms-SupportingStatement_01172024_DRAFT yk comments.docx |
Supporting Statement A | Uploaded 2024-01-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 225787 |  NTIS Limited Access Death Master File (LADMF) Accredited Conformity Assessment Body Systems Safeguards Attestation Form |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOC/NTIS |
| OMB Control No | 0692-0016 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202008-0692-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |