Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Report of Death by Funeral Director Unchanged 544233 36282 0 Form and Instruction SSA-721
State Death Match - Electronic Death Registration (EDR) New 123549888 0 253277270 Other-Death Screen Images
State Death Match - Manual - Non-EDR New 937850 0 825308 Other-Instructions and File Format for State's Use
State Death Match - Manual - Non-EDR Records from EDR sites New 2676219 0 2355073 Other-ile Format for State's Use
State Death Match - States Expected to Become EDR's within next 3 Year New 313000 0 992210 Other-Death Screen Images
Total burden requested under this ICR: 128021190 36282 257449861  
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