Information Collection

Follow-UP Activities for Product-Related Injuries

IC 29149 under ICR 200610-3041-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.