OMB control number

NTIS Limited Access Death Master Files (LADMF) Systems Safeguards Attestation Forms

OMB 0692-0016 · DOC/NTIS.

OMB 0692-0016

The National Technical Information Service (NTIS) Limited Access Death Master File Accredited Conformity Assessment Body Systems Safeguards Attestation Form (ACAB Systems Safeguards Attestation Form) and the Limited Access Death Master File State or Local Auditor General or Inspector General Systems Safeguard Attestation Form (AG or IG Systems Safeguards Attestation Form) are used to collect information related to the implementation of Section 203 of the Bipartisan Budget Act of 2013 (Pub. L. 113-67) (Act). Section 203 of the Act prohibits disclosure of Limited Access Death Master File (Limited Access DMF) information during the three-calendar-year period following death unless the person requesting the information has been certified under a program established by the Secretary of Commerce. The Act directs the Secretary of Commerce to establish a certification program for such access to the Limited Access DMF. The Secretary of Commerce has delegated the authority to carry out the DMF certification program to the Director, NTIS.

The latest form for NTIS Limited Access Death Master Files (LADMF) Systems Safeguards Attestation Forms expires 2027-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supplementary Document
0692-XXXX-Emergency-NTIS-LADMF-AttestationForms-DRAFT-NTIS-1_SORN_v0-6.docx (document unavailable)
Supplementary Document
Supplementary Document
0692-0016-NTIS-LADMF-AttestationForms-SupportingStatement_01172024_DRAFT yk comments.docx (document unavailable)
Supporting Statement A