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 Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Case validation questions Attach4ALSCase Validation Questions (screenshots).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

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

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 0 0 0 1,670
Annual IC Time Burden (Hours) 56 0 0 0 0 56
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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