ALS One-time Survey

National Amyotrophic Lateral Sclerosis (ALS) Registry

OMB: 0923-0041

IC ID: 192031

Information Collection (IC) Details

View Information Collection (IC)

ALS One-time Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none 6a - Previously approved surveys Attach_6a-Screen Shots_Previously Approved Surveys-v2.docx Yes Yes Fillable Fileable
Form none 6b - New Surveys Attach_6b-Screen Shots New Surveys-V2.docx Yes Yes Fillable Fileable

Health Immunization Management

Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances  59 FR 67085

750 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 12,000 0 -2,004 0 0 14,004
Annual IC Time Burden (Hours) 1,000 0 -167 0 0 1,167
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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