Information Collection

Follow-UP Activities for Product-Related Injuries

IC 29149 under ICR 201003-3041-005 · OMB 3041-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0029 can be found here:

Documents and Forms

Document Name Document Type
OMB(41)Form175.pdf www.cpsc.gov/incident.html Instruction
OMB0029_2010_1_Internet State Local Officials Reporting.pdf www.cpsc.gov/cgibin/fpinc.aspx Other-Form
OMB0029_2010_3_Internet Healthcare Reporting.pdf www.cpsc.gov/cgibin/hcpinc.aspx Other-Form
OMB0029_2010_4_Internet Incident.pdf www.cpsc.gov/cgibin/incident.aspx Other-Form
OMB0029_2010_5_Internet MECAP Reporting.pdf www.cpsc.gov/cgibin/mecap.aspx Other-form
OMB0029_2010_2_Internet Drywall.pdf www.cpsc.gov/cgibin/drywall.aspx Other-form
182 Epidemiologic Investigation Report OMB(36)Form182.pdf Form
OMB0029_2010_1_Internet State Local Officials Reporting.pdf State and Local Officials Reporting IC Document
OMB0029_2010_2_Internet Drywall.pdf Internet Drywall Reporting IC Document
OMB0029_2010_3_Internet Healthcare Reporting.pdf Internet Healthcare Reporting IC Document
OMB0029_2010_4_Internet Incident.pdf Internet Incident Reporting IC Document
OMB0029_2010_5_Internet MECAP Reporting.pdf Internet MECAP reporting IC Document
OMB0029_2010_6_Television Tipovers.pdf Television tipover guidelines IC Document
OMB0029_2010_7_crib falls.pdf Crib Falls guidelines IC Document
OMB0029_2010_8_general fire.pdf General Fire guidelines IC Document
OMB0029_2010_9_General Respondent NEISS.pdf General Respondent NEISS IC Document
OMB0029_2010_10_generators.pdf Generators guidelines IC Document
OMB0029_2010_11_Saws.pdf Saws Guidelines IC Document
OMB0029_2010_12_submersion.pdf Submersion Guidelines IC Document
OMB0029_2010_13_NEISS & Childhood Poisoning.pdf NEISS and Childhood Poisoning Guidelines IC Document
OMB0029_2010_14_Window covering cords.pdf Windown Covering cords Guidelines IC Document
OMB0029_2010_15_chain saws.pdf Chain Saws Guidelines IC Document
OMB0029_2010_16_Range oven fires.pdf Range Oven Fires guidelines IC Document
OMB0029_2010_17_heat tapes.pdf Heat Tapes Guidelines IC Document
OMB0029_2010_18_riding mowers.pdf Riding Mowers Guidelines IC Document
OMB0029_2010_19_mattress bedding fires.pdf Mattress Bedding Fires Guidelines IC Document
OMB0029_2010_20_CO poisoning.pdf CO Poisoning Guidelines IC Document
OMB0029_2010_21_Upholstered Furniture.pdf Upholstered Furniture Guidelines IC Document
OMB0029_2010_23_Children wearing apparel.pdf Children Wearing Apparel Guidelines IC Document
OMB0029_2010_24_Toys.pdf Toys Guidelines IC Document
OMB0029_2010_25_electric shock.pdf Electric Shock Guidelines IC Document
OMB0029_2010_26_Structural entrapment.pdf Structural Entrapment Guidelines IC Document
OMB0029_2010_27_Playground.pdf Playground Guidelines IC Document
OMB0029_2010_28_Spas.pdf Spas Guidelines IC Document
OMB0029_2010_29_Bicycles.pdf Bicycles Guidelines IC Document
OMB0029_2010_30_Child Play lighters.pdf Child Play Lighters Guidelines IC Document
OMB0029_2010_31_Nursery products.pdf Nursery Products Guidelines IC Document
OMB0029_2010_32_Small products.pdf Small Products Guidelines IC Document
OMB0029_2010_33_Hedge trimmers.pdf Hedge Trimmers Guidelines IC Document
OMB0029_2010_34_space heaters.pdf Space Heaters Guidelines IC Document
OMB0029_2010_35_power tools.pdf Power Tools Guidelines IC Document
OMB0029_2010_36_power toys.pdf Power Toys Guidelines IC Document
OMB0029_2010_37_radial arm saws.pdf Radial Arm Saws Guidelines IC Document
OMB0029_2010_38_snow throwers.pdf Snow Throwers Guidelines IC Document
OMB0029_2010_39_space heaters.pdf Space Heaters Guidelines IC Document
OMB0029_2010_40_swimming pools.pdf Swimming Pools Guidelines IC Document
OMB0029_2010_41_table saw.pdf Table Saw Guidelines IC Document
OMB0029_2010_42_high chair nomenclature.pdf High Chair Nomenclature Guidelines IC Document
OMB0029_2010_43_play pen nomenclature.pdf Play Pen Nomenclature Guidelines IC Document
OMB0029_2010_44_Electrical distribution systems.pdf Electric Distribution Systems Guidelines IC Document
OMB0029_2010_45_garage door operators.pdf Garage Door Operators Guidelines IC Document
OMB0029_2010_46_grass trimmers.pdf Grass Trimmers Guidelines IC Document
OMB0029_2010_47_brushcutters.pdf Brushcutters Guidelines IC Document
OMB0029_2010_48_fire alert.pdf Fire Alert Guidelines IC Document
OMB0029_2010_49_ATV.pdf ATV Guidelines IC Document
OMB0029_2010_50_smoke detector.pdf Smoke Detector Guidelines IC Document
OMB0029_2010_51_amusement rides.pdf Amusement Rides Guidelines IC Document
OMB0029_2010_52_LP gas fuel train.pdf LP Gas Fuel Train Guideliens IC Document
OMB0029_2010_53_furnaces.pdf Furnaces Guidelines IC Document
OMB0029_2010_55_carpet and rug.pdf Carpet and Rug Guidelines IC Document
OMB0029_2010_56_bike helmets.pdf Bike Helmets Guidelines IC Document
OMB0029_2010_57_infant suffocations.pdf Infant Suffocation Guidelines IC Document
OMB0029_2010_58_fireworks.pdf Fireworks Guidelines IC Document
OMB0029_2010_59_baby walkers.pdf Baby Walkers Guidelines IC Document
OMB0029_2010_60_bathtub incidents.pdf Bathtub Incidents Guidelines IC Document
OMB0029_2010_61_bucket drownings.pdf Bucket Drownings Guidelines IC Document
OMB0029_2010_62_Nonpowder guns.pdf Non Powder Guns Guidelines IC Document
OMB0029_2010_63_dishwashers.pdf Dishwashers Guidelines IC Document
OMB0029_2010_64_Automatic Gate Opertors.pdf Automatic Gate Opertors Guidelines IC Document
OMB0029_2010_65_Fun Karts.pdf Fun Karts Guildeliens IC Document
OMB0029_2010_66_Wall covering fires.pdf Wall Covering Fires Guidelines IC Document
OMB0029_2010_67_Fire sprinkler systems.pdf Fire Sprinkler Systems IC Document
OMB0029_2010_68_Fixed position electric heaters.pdf Fixed Position Electric Heaters Guidelines IC Document
OMB0029_2010_69_Candle fires.pdf Canle Fires Guidelines IC Document
OMB0029_2010_70_Restraints.pdf Restraints Guidelines IC Document
OMB0029_2010_71_Mobile Home applicance fires.pdf Mobile Home Appliance Fires Guidelines IC Document
OMB0029_2010_72_Butane grills.pdf Butane Grills Guidelines IC Document
OMB0029_2010_73_electrical lighting products.pdf Electric Lighting Products Guidelines IC Document
OMB0029_2010_74_circuit breakers.pdf Circuit Breakers Guidelines IC Document
OMB0029_2010_75_smoke detetectors.pdf Smoke Detectors Guidelines IC Document
OMB0029_2010_76_bath seats rings.pdf Bath Seat Rings Guidelines IC Document
OMB0029_2010_77_electrical distributon systems.pdf Electrical Distribution Systems Guidelines IC Document
OMB0029_2010_78_Nail guns.pdf Nail Guns Guidelines IC Document
OMB0029_2010_79_Tree stands.pdf Tree Stands Guidelines IC Document
OMB0029_2010_80_paintball.pdf Paintball Guidelines IC Document
OMB0029_2010_81_cigarette lighters.pdf Cagarette Lighters Guidelines IC Document
OMB0029_2010_54_portable LP gas grills.pdf Portable LP Gas Grills Guidelines IC Document
OMB0029_2010_22_Adult Wearing Apparel.pdf Adult Wearing Apparel Guidelines IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-UP Activities for Product-Related Injuries	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form			OMB0029_2010_1_Internet State Local Officials Reporting.pdf	https://www.cpsc.gov/cgibin/fpinc.aspx	Yes	Yes	Fillable Fileable
Other-Form			OMB0029_2010_3_Internet Healthcare Reporting.pdf	https://www.cpsc.gov/cgibin/hcpinc.aspx	Yes	Yes	Fillable Fileable
Other-Form			OMB0029_2010_4_Internet Incident.pdf	https://www.cpsc.gov/cgibin/incident.aspx	Yes	Yes	Fillable Fileable
Other-form			OMB0029_2010_5_Internet MECAP Reporting.pdf	https://www.cpsc.gov/cgibin/mecap.aspx	Yes	Yes	Fillable Fileable
Other-form			OMB0029_2010_2_Internet Drywall.pdf	https://www.cpsc.gov/cgibin/drywall.aspx	Yes	Yes	Fillable Fileable
Instruction			OMB(41)Form175.pdf	https://www.cpsc.gov/incident.html	Yes	Yes	Fillable Fileable
Form	182	Epidemiologic Investigation Report	OMB(36)Form182.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: CPSC-1	FR Citation: 63 FR 250

Number of Respondents: 17,572	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 46 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	393,952	379,101	14,851
Annual IC Time Burden (Hours)	49,705	42,675	7,030
Annual IC Cost Burden (Dollars)	1,726,390	1,726,390	0

Documents for IC

Title	Document	Date Uploaded
State and Local Officials Reporting	OMB0029_2010_1_Internet State Local Officials Reporting.pdf	03/24/2010
Internet Drywall Reporting	OMB0029_2010_2_Internet Drywall.pdf	03/24/2010
Internet Healthcare Reporting	OMB0029_2010_3_Internet Healthcare Reporting.pdf	03/24/2010
Internet Incident Reporting	OMB0029_2010_4_Internet Incident.pdf	03/24/2010
Internet MECAP reporting	OMB0029_2010_5_Internet MECAP Reporting.pdf	03/24/2010
Television tipover guidelines	OMB0029_2010_6_Television Tipovers.pdf	03/24/2010
Crib Falls guidelines	OMB0029_2010_7_crib falls.pdf	03/24/2010
General Fire guidelines	OMB0029_2010_8_general fire.pdf	03/24/2010
General Respondent NEISS	OMB0029_2010_9_General Respondent NEISS.pdf	03/24/2010
Generators guidelines	OMB0029_2010_10_generators.pdf	03/24/2010
Saws Guidelines	OMB0029_2010_11_Saws.pdf	03/24/2010
Submersion Guidelines	OMB0029_2010_12_submersion.pdf	03/24/2010
NEISS and Childhood Poisoning Guidelines	OMB0029_2010_13_NEISS & Childhood Poisoning.pdf	03/24/2010
Windown Covering cords Guidelines	OMB0029_2010_14_Window covering cords.pdf	03/24/2010
Chain Saws Guidelines	OMB0029_2010_15_chain saws.pdf	03/24/2010
Range Oven Fires guidelines	OMB0029_2010_16_Range oven fires.pdf	03/24/2010
Heat Tapes Guidelines	OMB0029_2010_17_heat tapes.pdf	03/24/2010
Riding Mowers Guidelines	OMB0029_2010_18_riding mowers.pdf	03/24/2010
Mattress Bedding Fires Guidelines	OMB0029_2010_19_mattress bedding fires.pdf	03/24/2010
CO Poisoning Guidelines	OMB0029_2010_20_CO poisoning.pdf	03/24/2010
Upholstered Furniture Guidelines	OMB0029_2010_21_Upholstered Furniture.pdf	03/24/2010
Children Wearing Apparel Guidelines	OMB0029_2010_23_Children wearing apparel.pdf	03/24/2010
Toys Guidelines	OMB0029_2010_24_Toys.pdf	03/24/2010
Electric Shock Guidelines	OMB0029_2010_25_electric shock.pdf	03/24/2010
Structural Entrapment Guidelines	OMB0029_2010_26_Structural entrapment.pdf	03/24/2010
Playground Guidelines	OMB0029_2010_27_Playground.pdf	03/24/2010
Spas Guidelines	OMB0029_2010_28_Spas.pdf	03/24/2010
Bicycles Guidelines	OMB0029_2010_29_Bicycles.pdf	03/24/2010
Child Play Lighters Guidelines	OMB0029_2010_30_Child Play lighters.pdf	03/24/2010
Nursery Products Guidelines	OMB0029_2010_31_Nursery products.pdf	03/24/2010
Small Products Guidelines	OMB0029_2010_32_Small products.pdf	03/24/2010
Hedge Trimmers Guidelines	OMB0029_2010_33_Hedge trimmers.pdf	03/24/2010
Space Heaters Guidelines	OMB0029_2010_34_space heaters.pdf	03/24/2010
Power Tools Guidelines	OMB0029_2010_35_power tools.pdf	03/24/2010
Power Toys Guidelines	OMB0029_2010_36_power toys.pdf	03/24/2010
Radial Arm Saws Guidelines	OMB0029_2010_37_radial arm saws.pdf	03/24/2010
Snow Throwers Guidelines	OMB0029_2010_38_snow throwers.pdf	03/24/2010
Space Heaters Guidelines	OMB0029_2010_39_space heaters.pdf	03/24/2010
Swimming Pools Guidelines	OMB0029_2010_40_swimming pools.pdf	03/24/2010
Table Saw Guidelines	OMB0029_2010_41_table saw.pdf	03/24/2010
High Chair Nomenclature Guidelines	OMB0029_2010_42_high chair nomenclature.pdf	03/24/2010
Play Pen Nomenclature Guidelines	OMB0029_2010_43_play pen nomenclature.pdf	03/24/2010
Electric Distribution Systems Guidelines	OMB0029_2010_44_Electrical distribution systems.pdf	03/24/2010
Garage Door Operators Guidelines	OMB0029_2010_45_garage door operators.pdf	03/24/2010
Grass Trimmers Guidelines	OMB0029_2010_46_grass trimmers.pdf	03/24/2010
Brushcutters Guidelines	OMB0029_2010_47_brushcutters.pdf	03/24/2010
Fire Alert Guidelines	OMB0029_2010_48_fire alert.pdf	03/24/2010
ATV Guidelines	OMB0029_2010_49_ATV.pdf	03/24/2010
Smoke Detector Guidelines	OMB0029_2010_50_smoke detector.pdf	03/24/2010
Amusement Rides Guidelines	OMB0029_2010_51_amusement rides.pdf	03/24/2010
LP Gas Fuel Train Guideliens	OMB0029_2010_52_LP gas fuel train.pdf	03/24/2010
Furnaces Guidelines	OMB0029_2010_53_furnaces.pdf	03/24/2010
Carpet and Rug Guidelines	OMB0029_2010_55_carpet and rug.pdf	03/24/2010
Bike Helmets Guidelines	OMB0029_2010_56_bike helmets.pdf	03/24/2010
Infant Suffocation Guidelines	OMB0029_2010_57_infant suffocations.pdf	03/24/2010
Fireworks Guidelines	OMB0029_2010_58_fireworks.pdf	03/24/2010
Baby Walkers Guidelines	OMB0029_2010_59_baby walkers.pdf	03/24/2010
Bathtub Incidents Guidelines	OMB0029_2010_60_bathtub incidents.pdf	03/24/2010
Bucket Drownings Guidelines	OMB0029_2010_61_bucket drownings.pdf	03/24/2010
Non Powder Guns Guidelines	OMB0029_2010_62_Nonpowder guns.pdf	03/24/2010
Dishwashers Guidelines	OMB0029_2010_63_dishwashers.pdf	03/24/2010
Automatic Gate Opertors Guidelines	OMB0029_2010_64_Automatic Gate Opertors.pdf	03/24/2010
Fun Karts Guildeliens	OMB0029_2010_65_Fun Karts.pdf	03/24/2010
Wall Covering Fires Guidelines	OMB0029_2010_66_Wall covering fires.pdf	03/24/2010
Fire Sprinkler Systems	OMB0029_2010_67_Fire sprinkler systems.pdf	03/24/2010
Fixed Position Electric Heaters Guidelines	OMB0029_2010_68_Fixed position electric heaters.pdf	03/24/2010
Canle Fires Guidelines	OMB0029_2010_69_Candle fires.pdf	03/24/2010
Restraints Guidelines	OMB0029_2010_70_Restraints.pdf	03/24/2010
Mobile Home Appliance Fires Guidelines	OMB0029_2010_71_Mobile Home applicance fires.pdf	03/24/2010
Butane Grills Guidelines	OMB0029_2010_72_Butane grills.pdf	03/24/2010
Electric Lighting Products Guidelines	OMB0029_2010_73_electrical lighting products.pdf	03/24/2010
Circuit Breakers Guidelines	OMB0029_2010_74_circuit breakers.pdf	03/24/2010
Smoke Detectors Guidelines	OMB0029_2010_75_smoke detetectors.pdf	03/24/2010
Bath Seat Rings Guidelines	OMB0029_2010_76_bath seats rings.pdf	03/24/2010
Electrical Distribution Systems Guidelines	OMB0029_2010_77_electrical distributon systems.pdf	03/24/2010
Nail Guns Guidelines	OMB0029_2010_78_Nail guns.pdf	03/24/2010
Tree Stands Guidelines	OMB0029_2010_79_Tree stands.pdf	03/24/2010
Paintball Guidelines	OMB0029_2010_80_paintball.pdf	03/24/2010
Cagarette Lighters Guidelines	OMB0029_2010_81_cigarette lighters.pdf	03/24/2010
Portable LP Gas Grills Guidelines	OMB0029_2010_54_portable LP gas grills.pdf	03/24/2010
Adult Wearing Apparel Guidelines	OMB0029_2010_22_Adult Wearing Apparel.pdf	03/24/2010

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