Follow-UP Activities for Product-Related Injuries

⚠️ Notice: This information collection may be referencing outdated material.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
Form 182 Follow-UP Activities for Product-Related Injuries Form
OMB(41)Form175.pdf www.cpsc.gov/incident.html Instruction
182 Epidemiologic Investigation Report OMB(36)Form182.pdf Form

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
Form	182	Epidemiologic Investigation Report	OMB(36)Form182.pdf		Yes	Yes	Fillable Fileable
Instruction			OMB(41)Form175.pdf	https://www.cpsc.gov/incident.html	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,851	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	14,851	751	14,100
Annual IC Time Burden (Hours)	7,030	1,558	5,472
Annual IC Cost Burden (Dollars)	0	0	0

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.