View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0920-0215	ICR Reference No: 200109-0920-001
Status: Historical Active	Previous ICR Reference No: 199808-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Application Form and Related Forms for the Operation of the National Death Index
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: 11/01/2001
	Date Received in OIRA: 09/13/2001
Terms of Clearance: Approved. As per the previous terms of clearance, NCHS will alert OMB about the proposed revisions to the form. Depending on the nature of the proposed revisions, OMB will determine if NCHS will need to go through a formal clearance process or if the revisions can be made using an 83-C worksheet. Also, NCHS will submit an 83-C with the electronic versions of the application and transmittal forms for OMB approval prior to use.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2004	11/30/2004	11/30/2001
Responses	780	0	780
Time Burden (Hours)	227	0	227
Cost Burden (Dollars)	0	0	0

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