Information Collection

Follow-UP Activities for Product-Related Injuries

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

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 182
Epidemiologic Investigation Report Follow-UP Activities for Product-Related Injuries
Form
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)

layout table

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
Instruction https://www.cpsc.gov/incident.html Yes Yes Fillable Fileable
Form 182 Yes Yes Fillable Fileable
Other-Form https://www.cpsc.gov/cgibin/fpinc.aspx Yes Yes Fillable Fileable
Other-Form https://www.cpsc.gov/cgibin/hcpinc.aspx Yes Yes Fillable Fileable
Other-Form https://www.cpsc.gov/cgibin/incident.aspx Yes Yes Fillable Fileable
Other-form https://www.cpsc.gov/cgibin/mecap.aspx Yes Yes Fillable Fileable
Other-form https://www.cpsc.gov/cgibin/drywall.aspx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 393,952 0 379,101 0 0 14,851
Annual IC Time Burden (Hours) 49,705 0 42,675 0 0 7,030
Annual IC Cost Burden (Dollars) 1,726,390 0 1,726,390 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
State and Local Officials Reporting 03/24/2010
Internet Drywall Reporting 03/24/2010
Internet Healthcare Reporting 03/24/2010
Internet Incident Reporting 03/24/2010
Internet MECAP reporting 03/24/2010
Television tipover guidelines 03/24/2010
Crib Falls guidelines 03/24/2010
General Fire guidelines 03/24/2010
General Respondent NEISS 03/24/2010
Generators guidelines 03/24/2010
Saws Guidelines 03/24/2010
Submersion Guidelines 03/24/2010
NEISS and Childhood Poisoning Guidelines 03/24/2010
Windown Covering cords Guidelines 03/24/2010
Chain Saws Guidelines 03/24/2010
Range Oven Fires guidelines 03/24/2010
Heat Tapes Guidelines 03/24/2010
Riding Mowers Guidelines 03/24/2010
Mattress Bedding Fires Guidelines 03/24/2010
CO Poisoning Guidelines 03/24/2010
Upholstered Furniture Guidelines 03/24/2010
Children Wearing Apparel Guidelines 03/24/2010
Toys Guidelines 03/24/2010
Electric Shock Guidelines 03/24/2010
Structural Entrapment Guidelines 03/24/2010
Playground Guidelines 03/24/2010
Spas Guidelines 03/24/2010
Bicycles Guidelines 03/24/2010
Child Play Lighters Guidelines 03/24/2010
Nursery Products Guidelines 03/24/2010
Small Products Guidelines 03/24/2010
Hedge Trimmers Guidelines 03/24/2010
Space Heaters Guidelines 03/24/2010
Power Tools Guidelines 03/24/2010
Power Toys Guidelines 03/24/2010
Radial Arm Saws Guidelines 03/24/2010
Snow Throwers Guidelines 03/24/2010
Space Heaters Guidelines 03/24/2010
Swimming Pools Guidelines 03/24/2010
Table Saw Guidelines 03/24/2010
High Chair Nomenclature Guidelines 03/24/2010
Play Pen Nomenclature Guidelines 03/24/2010
Electric Distribution Systems Guidelines 03/24/2010
Garage Door Operators Guidelines 03/24/2010
Grass Trimmers Guidelines 03/24/2010
Brushcutters Guidelines 03/24/2010
Fire Alert Guidelines 03/24/2010
ATV Guidelines 03/24/2010
Smoke Detector Guidelines 03/24/2010
Amusement Rides Guidelines 03/24/2010
LP Gas Fuel Train Guideliens 03/24/2010
Furnaces Guidelines 03/24/2010
Carpet and Rug Guidelines 03/24/2010
Bike Helmets Guidelines 03/24/2010
Infant Suffocation Guidelines 03/24/2010
Fireworks Guidelines 03/24/2010
Baby Walkers Guidelines 03/24/2010
Bathtub Incidents Guidelines 03/24/2010
Bucket Drownings Guidelines 03/24/2010
Non Powder Guns Guidelines 03/24/2010
Dishwashers Guidelines 03/24/2010
Automatic Gate Opertors Guidelines 03/24/2010
Fun Karts Guildeliens 03/24/2010
Wall Covering Fires Guidelines 03/24/2010
Fire Sprinkler Systems 03/24/2010
Fixed Position Electric Heaters Guidelines 03/24/2010
Canle Fires Guidelines 03/24/2010
Restraints Guidelines 03/24/2010
Mobile Home Appliance Fires Guidelines 03/24/2010
Butane Grills Guidelines 03/24/2010
Electric Lighting Products Guidelines 03/24/2010
Circuit Breakers Guidelines 03/24/2010
Smoke Detectors Guidelines 03/24/2010
Bath Seat Rings Guidelines 03/24/2010
Electrical Distribution Systems Guidelines 03/24/2010
Nail Guns Guidelines 03/24/2010
Tree Stands Guidelines 03/24/2010
Paintball Guidelines 03/24/2010
Cagarette Lighters Guidelines 03/24/2010
Portable LP Gas Grills Guidelines 03/24/2010
Adult Wearing Apparel Guidelines 03/24/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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