National Vital Statistics Report Forms

OMB 0920-0213

These are the data collection forms used by State and/or county vital registration offices to report to the Federal government (a) provisional counts of births, deaths, and infant deaths at the end of each month and (b) annual counts of marriages and divorces/annulments in support of the National Vital Statistics System.

The latest form for National Vital Statistics Report Forms expires 2023-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0213 Monthly Vital Statistics Report Form
Annual Vital Statistics Report Form
Att D IRB Letter_3.9.2022.pdf Supplementary Document
Att B Published 60-Day FRN NVSR.pdf Supplementary Document
Att A LegisAuth.pdf Supplementary Document
Supp St B 04142022.docx Supporting Statement B
Supp St A 05162022 Final.docx Supporting Statement A
Monthly Vital Statistics Report Form
Annual Vital Statistics Report Form

All Historical Document Collections

202203-0920-008 Approved without change	Revision of a currently approved collection	2022-05-17
202008-0920-006 Approved without change	Extension without change of a currently approved collection	2020-08-24
201803-0920-003 Approved without change	Revision of a currently approved collection	2018-03-27
201602-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-02-12
201502-0920-017 Approved without change	Extension without change of a currently approved collection	2015-03-06
201202-0920-009 Approved without change	Extension without change of a currently approved collection	2012-02-29
200904-0920-007 Approved without change	Reinstatement with change of a previously approved collection	2009-04-07
200601-0920-001 Approved without change	Extension without change of a currently approved collection	2006-01-04
200302-0920-003 Approved without change	Extension without change of a currently approved collection	2003-02-25
200002-0920-001 Approved without change	Revision of a currently approved collection	2000-02-01
199607-0920-008 Approved without change	Extension without change of a currently approved collection	1996-07-25
199307-0920-001 Approved without change	Extension without change of a currently approved collection	1993-07-07
199009-0920-002 Approved without change	Reinstatement with change of a previously approved collection	1990-09-27
198802-0920-007 Approved without change	Revision of a currently approved collection	1988-02-05

OMB Details

Monthly Vital Statistics Report

Federal Enterprise Architecture: Health - Public Health Monitoring

Form none

Monthly VItal Statistics Report

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.