OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

National Electronic Injury Surveillance System (NEISS) and Follow-up Activities for Product Related Injuries

ICR 201912-3041-001 · OMB 3041-0029 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 182 Follow-Up Activities for Product-Related Injuries-Interviews Form and Instruction Modified Available
Form OMB0029-PC-NEISS-S NEISS Form and Instruction Modified Repair queued
FY2020 C&R Manual.pdf Supplementary Document Uploaded 2020-03-11 Available
2020 NEISS AIP Coding Manual.pdf Supplementary Document Uploaded 2020-03-11 Repair queued
2020 CPSC Only Non-Trauma Coding Manual.pdf Supplementary Document Uploaded 2020-03-11 Available
OMB0029_NEISS_Supporting_Statement_20200327.pdf Supporting Statement B Uploaded 2020-03-27 Repair queued
OMB0029_NEISS_Supporting_Statement_20200327.pdf Supporting Statement A Uploaded 2020-03-27 Available
30 Day Notice 2019-27509.pdf Supplementary Document Uploaded 2019-12-23 Repair queued
60 Day Notice CPSC-2009-0102-0007.pdf Supplementary Document Uploaded 2019-12-23 Available
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 Repair queued
OMB(40)MedicalExaminerCoronerReport.pdf Supplementary Document Uploaded 2006-11-07 Available
OMB(38)HealthCareProfessional.pdf Supplementary Document Uploaded 2006-11-07 Repair queued
OMB(37)FirePoliceInsuranceInvestigator.pdf Supplementary Document Uploaded 2006-11-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
29149 Follow-Up Activities for Product-Related Injuries-Interviews Form and Instruction Modified
207798 NEISS Form and Instruction Modified
ICR Details
3041-0029 201912-3041-001
Active 201609-3041-002
CPSC
National Electronic Injury Surveillance System (NEISS) and Follow-up Activities for Product Related Injuries
Revision of a currently approved collection   No
Regular
Approved with change 04/03/2020
Retrieve Notice of Action (NOA) 12/23/2019
When this ICR is renewed, CPSC should explain the results of the independent statistical assessment and changes made to the ICR in response to that assessment.
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 04/30/2020
728,144 0 741,853
102,544 0 82,853
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
  84 FR 53707 10/08/2019
84 FR 70157 12/20/2019
No
2
IC Title Form No. Form Name
NEISS OMB0029-PC-NEISS-Screenshots PC-NEISS
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 728,144 741,853 0 0 -13,709 0
Annual Time Burden (Hours) 102,544 82,853 0 0 19,691 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$5,400,000
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Bretford Griffin 301 504-7037 [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.
12/23/2019