Information Collection Request

Follow-Up Activities for Product-Related Injuries

ICR 201609-3041-002 · OMB 3041-0029 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 182 Follow-Up Activities for Product-Related Injuries-Interviews Form Modified Repair queued
Form OMB0029_2013_PCNEI NEISS Form and Instruction Modified Repair queued
OMB0029_NEISS_Supporting_Statement_2016_final.docx Supporting Statement B Uploaded 2016-09-27 Available
OMB0029_NEISS_Supporting_Statement_2016_final.docx Supporting Statement A Uploaded 2016-09-27 Repair queued
followupactivitiesFR30.pdf Supplementary Document Uploaded 2016-09-27 Repair queued
followupactivitiesFR60.pdf Supplementary Document Uploaded 2016-09-27 Repair queued
Form 182 from 2011 Field Manual for Investigations.pdf Supplementary Document Uploaded 2013-07-18 Available
PIA_National Electronic Injury Surveillance System (NEISS).pdf Supplementary Document Uploaded 2010-03-31 Available
OMB(40)MedicalExaminerCoronerReport.pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(38)HealthCareProfessional.pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(37)FirePoliceInsuranceInvestigator.pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(35).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(34).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(33).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(32).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(31).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(30).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(29).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(28).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(27).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(25).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(26).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(24).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(23).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(22).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(21).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(20).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(19).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(18).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(17).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(16).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(15).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(14).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(13).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(12).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(11).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(10).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(9).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(8).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(7).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(6).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(5).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(4).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(3).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(1).pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(2).pdf Supplementary Document Uploaded 2006-11-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
29149 Follow-Up Activities for Product-Related Injuries-Interviews Form Modified
207798 NEISS Form and Instruction Modified
ICR Details
3041-0029 201609-3041-002
Historical Active 201307-3041-001
CPSC
Follow-Up Activities for Product-Related Injuries
Revision of a currently approved collection   No
Regular
Approved without change 01/23/2017
Retrieve Notice of Action (NOA) 09/27/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved 01/31/2017
741,853 0 404,250
82,853 0 45,008
0 0 0

Persons who have been injured in or who have witnessed safety- related incidents involving consumer products are an important source of safety information. The Commission uses information obtained from these persons and hospital emergency rooms to support activities to eliminate or reduce unreasonable risks of injury associated with consumer products.

US Code: 15 USC 2054 Name of Law: Consumer Product Safety Act
  
None

Not associated with rulemaking

  81 FR 40677 06/22/2016
81 FR 64878 09/21/2016
No

2
IC Title Form No. Form Name
NEISS OMB0029_2013_PCNEISS_Screenshots PCNEISS
Follow-Up Activities for Product-Related Injuries-Interviews 182 Epidemiologic Investigation Report

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 741,853 404,250 0 378,128 -40,525 0
Annual Time Burden (Hours) 82,853 45,008 0 39,678 -1,833 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Using Information Technology
This request for the approval of an estimated 82,853 (81,210 NEISS and 1,643 other) burden hours per year is an increase of 37,845 hours since this collection of information was last approved by OMB in 2013. The increase in the burden hours is largely due to the inclusion of information collected through NEISS for other federal agencies through Interagency Agreements (CDC, NHTSA), which were not otherwise accounted for by those agencies. In order to account for all the burden hours associated with the NEISS information collection, we have added those hours to the collection of information. The increase in burden hours also includes the increase associated with offering internet-based questionnaires in addition to in-person and telephone interviews.

$4,900,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Robert Squibb 301 504-7815 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/27/2016