Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Report of Death by Funeral Director Modified 437449 72908 0 Form and Instruction SSA-721
State Death Match - Electronic Death Registration (EDR) Modified 170881758 42720440 473342470 Other-Death Screen Images
State Death Match - Manual - Non-EDR Removed 0 0 0 Other-Instructions and File Format for State's Use
State Death Match - Manual - Non-EDR Records from EDR sites Removed 0 0 0 Other-ile Format for State's Use
State Death Match - States Expected to Become EDR's within next 3 Year Modified 1247 312 4651 Other-Death Screen Images
Total burden requested under this ICR: 171320454 42793660 473347121  
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