ALS Registry Research Application

[ATSDR] National Amyotrophic Lateral Sclerosis (ALS) Registry

OMB: 0923-0041

IC ID: 222085

Information Collection (IC) Details

View Information Collection (IC)

ALS Registry Research Application
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a National Amyotrophic Lateral Sclerosis (ALS) Registry Research Application Form (rev. May 2021) P_AppM1 ALS Research Application.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

36 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 36 0 0 0 0 36
Annual IC Time Burden (Hours) 18 0 0 0 0 18
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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