Information Collection

Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses

IC 29188 under ICR 200904-3041-003 · OMB 3041-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0133 can be found here:

Documents and Forms

Document Name Document Type
Form 1633confirmproto Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses Form
1633confirmproto Confirmed Prototype Test Record 1633confirmproto.pdf www.cpsc.gov/BUSINFO/1633confirmproto.pdf Form
Qualified/Confirme Qualified/Confirmed Prototype QA Records 1633QAqualconf.pdf www.cpsc.gov/BUSINFO/1633QAqualconf.pdf Form
Subordinate protot Subordinate prototype QA Records 1633QAsubordinate.pdf www.cpsc.gov/BUSINFO/1633QAsubordinate.pdf Form
Qualified/Confirme Qualified/Confirmed Prototype Records 1633qualconf.pdf www.cpsc.gov/BUSINFO/1633qualconf.pdf Form
Subordinate Protot Subordinate Prototype Records 1633qualproto.pdf www.cpsc.gov/BUSINFO/1633subordinate.pdf Form
Qualified Prototyp Qualified Prototype Test Record 1633qualproto.pdf www.cpsc.gov/BUSINFO/1633qualproto.pdg Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 16 CFR 1633

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1633confirmproto	Confirmed Prototype Test Record	1633confirmproto.pdf	http://www.cpsc.gov/BUSINFO/1633confirmproto.pdf	No		Fillable Printable
Form	Qualified/Confirmed Prototype QA Records	Qualified/Confirmed Prototype QA Records	1633QAqualconf.pdf	http://www.cpsc.gov/BUSINFO/1633QAqualconf.pdf	Yes	No	Fillable Printable
Form	Subordinate prototype QA Records	Subordinate prototype QA Records	1633QAsubordinate.pdf	http://www.cpsc.gov/BUSINFO/1633QAsubordinate.pdf	Yes	No	Fillable Printable
Form	Qualified/Confirmed Prototype Records	Qualified/Confirmed Prototype Records	1633qualconf.pdf	http://www.cpsc.gov/BUSINFO/1633qualconf.pdf	Yes	No	Fillable Printable
Form	Subordinate Prototype Records	Subordinate Prototype Records	1633qualproto.pdf	http://www.cpsc.gov/BUSINFO/1633subordinate.pdf	Yes	No	Fillable Printable
Form	Qualified Prototype Test Record	Qualified Prototype Test Record	1633qualproto.pdf	http://www.cpsc.gov/BUSINFO/1633qualproto.pdg	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 671	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13,420	13,420
Annual IC Time Burden (Hours)	63,521	63,521
Annual IC Cost Burden (Dollars)	22,446,000	22,446,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.