ALS Validation Questions

National Amyotrophic Lateral Sclerosis (ALS) Registry

OMB: 0923-0041

IC ID: 192029

Information Collection (IC) Details

View Information Collection (IC)

ALS Validation Questions
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none ALS Registry Validation Questions Attach_4-Screen Shots Validation Questions.docx Yes Yes Fillable Fileable

Health Immunization Management

Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances, 09-19-0001  59 FR 67085

1,670 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,670 0 -4,330 0 0 6,000
Annual IC Time Burden (Hours) 56 0 -144 0 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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