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Creation of State and Metropolitan Area Based Surveillance Projects for Amyotrophic Lateral Sclerosis (ALS)
OMB 0923-0043
OMB.report
HHS/TSDR
OMB 0923-0043
OMB 0923-0043
Latest Forms, Documents, and Supporting Material
Document
Name
ALS Medical Record Verification Form
Form
ALS Case Reporting Form
Form
CDC Protocol#5923_ Amendment approval.doc
Supplementary Document
State-Metro ALS Surveillance Protocol-V6-CLEAN.doc
Supplementary Document
ICR#0923-0043_Justification for change-_June 2012.docx
Justification for No Material/Nonsubstantive Change
Line Listing
Instruction
Training for Reporting
Instruction
ALS Medical Record Verification Form
Form
ALS Case Reporting Form
Form
All Historical Document Collections
201206-0923-001
Approved without change
No material or nonsubstantive change to a currently approved collection
2012-06-26
201111-0923-002
Approved without change
No material or nonsubstantive change to a currently approved collection
2011-11-15
201102-0923-001
Approved with change
New collection (Request for a new OMB Control Number)
2011-02-02
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