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OMB Control No: 0692-0016	ICR Reference No: 201611-0692-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/NTIS	Agency Tracking No: DY
Title: NTIS Limited Access Death Master Files (LADMF) Systems Safeguards Attestation Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 12/21/2016
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/05/2017
	Date Received in OIRA: 12/02/2016
Terms of Clearance: This collection is approved for six months only. If the Department plans to use this collection for more than 6 months, the collection must go through a regular 60 and 30 day comment process. Also, if this collection is resubmitted, the SORN and PIA must be part of the package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	6 Months From Approved
Responses	560	0	0
Time Burden (Hours)	1,680	0	0
Cost Burden (Dollars)	0	0	0

Abstract: The National Technical Information Service respectfully requests an expedited review and approval of this information collection for the following reason: Section 203 of the Bipartisan Budget Act of 2013 prohibits disclosure of Limited Access Death Master File (Limited Access DMF) information, as detailed in this supporting statement and the cover memorandum, unless a person has been certified for access pursuant to certain criteria in a program established by the Secretary of Commerce, who has delegated that responsibility to the Director of NTIS. NTIS issued a final rule establishing a certification program, which becomes effective November 28, 2016, replacing and superseding the interim final rule now in effect. The final rule contains new requirements for certification, including the submission with a person’s application of a written attestation from an “Accredited Conformity Assessment Body” (ACAB) that the person meets the safeguarding requirements of the final rule for the protection of Limited Access DMF information. A state or local government Auditor General (AG) or Inspector General (IG) may submit the written attestation for a state or local government department or agency seeking certification or renewal if the AG or IG is a department or agency of the same state or local government. The forms are to be used by ACABs and state and local AGs and IGs attesting on the behalf of the applicants. Many businesses and other organizations, including credit card companies, financial institutions, health and life insurance companies, medical and health care, as well as state and local government departments and agencies, rely upon uninterrupted access to the Limited Access DMF. If the information collection is not available for use under the final rule, NTIS will not be able to implement the final rule. This could result in such persons who require a renewal of certification not being able to be recertified and experience a disruption in access.

Emergency Justfication: Related to the implementation of Section 203 of the Bipartisan Budget Act of 2013, Pub. L. 113-67 (Act), the ACT prohibits disclosure of information from the Social Security Administration's (SSA) Death Master File (DMF) during the three-year-calendar-year period following an individual's death (referred to as "Limited Access DMF"), unless the person requesting the information has been certified under a program established by the Secretary of Commerce (Secretary). The Secretary delegated the authority to carry out Section 203 of the Act to the Director of NTIS. NTIS issued a final rule establishing a certification program for Limited Access DMF that becomes effective on November 28, 2016, replacing and superseding the interim rule currently in place. The forms can not be used until OMB approval is received.

Authorizing Statute(s): PL: Pub.L. 113 - 67 203 Name of Law: Bipartisan Budget Act of 2013

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 86703	12/01/2016
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	560	560
Annual Time Burden (Hours)	1,680	1,680
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

Annual Cost to Federal Government: $294,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: John Hounsell 703 605-6184 jhounsell@ntis.gov

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