[ATSDR] National Amyotrophic Lateral Sclerosis (ALS) Registry

OMB 0923-0041

OMB 0923-0041

As mandated by Congress, the goal is to continue collecting data for the National Amyotrophic Lateral Sclerosis (ALS) Registry to better describe the incidence and prevalence of ALS and to identify risk factors for the disease. ATSDR endeavors to improve the completeness, representativeness, and accuracy of the Registry data over time. This revision adds an organized sports participation survey, and 2 additional questions to the registration form.

The latest form for [ATSDR] National Amyotrophic Lateral Sclerosis (ALS) Registry expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material
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OMB Details

ALS Validation Questions

Federal Enterprise Architecture: Health - Public Health Monitoring

Form noneCase validation questionsFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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