Outreach Reporting Form for Chapters and Districts

National Amyotrophic Lateral Sclerosis (ALS) Registry

OMB: 0923-0041

IC ID: 222088

Information Collection (IC) Details

View Information Collection (IC)

Outreach Reporting Form for Chapters and Districts
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Outreach Reporting for Chapters and Districts Attach_13A-Chapter-District Outreach Reporting Form final.xlsx Yes No Paper Only

Health Public Health Monitoring

Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances, 09-19-0001  76 FR 4432

135 0
   
Individuals or Households
 
   0 %

  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 1,620 0 1,620 0 0 0
Annual IC Time Burden (Hours) 135 0 135 0 0 0
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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