OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Creation of State and Metropolitan Area Based Surveillance Projects for Amyotrophic Lateral Sclerosis (ALS)

OMB 0923-0043 · HHS/TSDR.

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All Historical Document Collections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