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 Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Chapter/District Outreach Reporting Attach13AChapter-District Outreach Reporting Form.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 %

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