Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ALS Biorepository Collection Form- Saliva Modified 350 58 0 Form none ALS Biorepository Saliva Collection
ALS Biorepository Specimen Processing Modified 325 163 0 Form none Biorepository Specimen Processing
ALS Case Registration Modified 1500 250 0 Form none Case registration
ALS DIsease Progression Survey Modified 2250 188 0 Form none Disease Progression Survey
ALS Registry Research Application Modified 36 18 0 Form and Instruction n/a National Amyotrophic Lateral Sclerosis (ALS) Registry Research Application Form (rev. May 2021)
ALS Validation Questions Modified 1670 56 0 Form none Case validation questions
Annual Update for Projects Receiving Specimens or Data Modified 24 6 0 Form none Annual update for projects receiving specimens and/data
Essential Questionnaire Modified 750 75 0 Form and Instruction n/a Essential Questionnaire
Follow-up Questions - ALS-associated and Clinical Factors New 750 88 0 Form and Instruction n/a ALS-associated and Clinical Factors
Follow-up Questions - Demography New 750 25 0 Form and Instruction n/a Demography
Follow-up Questions - Environmental Factors New 750 288 0 Form and Instruction n/a Environmental Factors
Follow-up Questions - Lifestyle Information New 750 400 0 Form and Instruction n/a Lifestyle Information
National Office Outreach Reporting Modified 24 8 0 Form none National Office Outreach Reporting
Outreach Reporting Form for Chapters and Districts Modified 1620 135 0 Form none Chapter/District Outreach Reporting
Total burden requested under this ICR: 11549 1758 0  
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