View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0142	ICR Reference No: 198612-0960-003
Status: Historical Active	Previous ICR Reference No: 198312-0960-005
Agency/Subagency: SSA	Agency Tracking No:
Title: STATEMENT OF DEATH BY FUNERAL DIRECTOR SSA-21 (REPLACES FORM SSA-2872)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/04/1987
	Date Received in OIRA: 12/16/1986
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/1990	02/28/1990	02/28/1987
Responses	900,000	0	900,000
Time Burden (Hours)	52,500	0	52,500
Cost Burden (Dollars)	0	0	0

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