Information Collection Request
[NCHS] Application Form and Related Forms for the Operation of the National Death Index
ICR 202301-0920-012 · OMB 0920-0215 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 NDI - Application Form (paper) |
Form and Instruction | Removed | Repair queued |
| NDI - Early Release Fee Worksheet |
Form and Instruction | Modified | Repair queued |
| NDI - Fee Worksheet |
Form and Instruction | Modified | Repair queued |
| NDI Early Relase Transmittal Form |
Form and Instruction | Modified | Repair queued |
| NDI - Application Form (electronic) |
Form and Instruction | Modified | Repair queued |
| NDI - Transmittal Form |
Form and Instruction | Modified | Repair queued |
| NDI - Repeat Request Form |
Form and Instruction | Removed | Missing upstream |
 Att G IRB.pdf |
Supplementary Document | Uploaded 2023-02-08 | Repair queued |
 Att F National Death Index Advisors.docx |
Supplementary Document | Uploaded 2023-02-08 | Repair queued |
| Att B Published 60-Day FRN.pdf |
Supplementary Document | Uploaded 2023-02-08 | Repair queued |
| Att A Authorizing Legislation.docx |
Supplementary Document | Uploaded 2023-02-08 | Repair queued |
| NDI Sup St B_1_31_23.docx |
Supporting Statement B | Uploaded 2023-02-07 | Repair queued |
| NDI Sup St A_1_31_23_final_Final.docx |
Supporting Statement A | Uploaded 2023-02-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 6683 |  NDI - Application Form (paper) |
Form and Instruction | Removed | |
| 239473 | NDI - Early Release Fee Worksheet |
Form and Instruction | Modified | |
| 239467 | NDI - Fee Worksheet |
Form and Instruction | Modified | |
| 239464 | NDI Early Relase Transmittal Form |
Form and Instruction | Modified | |
| 239461 | NDI - Application Form (electronic) |
Form and Instruction | Modified | |
| 182824 | NDI - Transmittal Form |
Form and Instruction | Modified | |
| 182823 | NDI - Repeat Request Form |
Form and Instruction | Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0215 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201912-0920-014 |
| Agency Tracking No | 0920-0215 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |