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

OMB 0920-0215

OMB 0920-0215

This is a reinstatement with change request for a three-year clearance to use of the administrative forms (the application form, repeat request form, and transmittal form) and the fee worksheets utilized in the operation of the National Death Index (NDI) program.

The latest form for [NCHS] Application Form and Related Forms for the Operation of the National Death Index expires 2023-03-31 and can be found here.

All Historical Document Collections
Approved without change
Revision of a currently approved collection 2023-02-08
Approved without change
Reinstatement with change of a previously approved collection 2020-01-31
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-03-11
Approved without change
Revision of a currently approved collection 2016-10-14
Approved without change
Extension without change of a currently approved collection 2013-09-16
Approved without change
Extension without change of a currently approved collection 2010-10-12
Approved without change
Revision of a currently approved collection 2007-11-21
Approved without change
Extension without change of a currently approved collection 2004-09-27
Approved without change
No material or nonsubstantive change to a currently approved collection 2002-08-23
Approved without change
Extension without change of a currently approved collection 2001-09-13
Approved without change
Extension without change of a currently approved collection 1998-08-17
Approved without change
Extension without change of a currently approved collection 1995-06-23
Approved without change
Extension without change of a currently approved collection 1992-06-19
Approved without change
Revision of a currently approved collection 1989-05-15
Approved without change
Extension without change of a currently approved collection 1988-02-16
OMB Details

NDI - Application Form (paper)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/aNational Death Index Application FormPaper OnlyForm and instruction

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


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