Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Qualified Prototyp Qualified Prototype Test Record	Form	Modified	Available
Form Subordinate Protot Subordinate Prototype Records	Form	Modified	Available
Form Qualified/Confirme Qualified/Confirmed Prototype Records	Form	Modified	Available
Form Subordinate protot Subordinate prototype QA Records	Form	Modified	Available
Form Qualified/Confirme Qualified/Confirmed Prototype QA Records	Form	Modified	Available
Form 1633confirmproto Confirmed Prototype Test Record	Form	Modified	Available
mattressFR30.pdf	Supplementary Document	Uploaded 2013-03-22	Available
mattresses FR.pdf	Supplementary Document	Uploaded 2013-03-15	Available
OMB0133_mattress_2013.docx	Supporting Statement A	Uploaded 2013-03-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29188	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Form	Modified	Qualified Prototype Test Record
29188	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Form	Modified	Subordinate Prototype Records
29188	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Form	Modified	Qualified/Confirmed Prototype Records
29188	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Form	Modified	Subordinate prototype QA Records
29188	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Form	Modified	Qualified/Confirmed Prototype QA Records
29188	Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Form	Modified	Confirmed Prototype Test Record

ICR Details

OMB Control No: 3041-0133	ICR Reference No: 201212-3041-010
Status: Historical Active	Previous ICR Reference No: 200904-3041-003
Agency/Subagency: CPSC	Agency Tracking No:
Title: Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/13/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/22/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved	05/31/2013
Responses	13,420	0	13,420
Time Burden (Hours)	63,521	0	63,521
Cost Burden (Dollars)	0	0	22,446,000

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Abstract: The mattress flammability (open flame) standard sets performance requirements that each mattress set must meet before being introduced into commerce. The standard requires manufacturers to maintain certain records to document compliance with the standard, including records concerning prototype testing, pooling and confirmation testing, and quality assurance procedures and associated testing.

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Authorizing Statute(s): US Code: 15 USC 1193 Name of Law: Flammable Fabrics Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 694	01/04/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 16840	03/19/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Testing and Recordkeeping Requirements under the Standard for the Flammability (Open Flame) of Mattresses	Subordinate prototype QA Records, Qualified/Confirmed Prototype Records, 1633confirmproto, Subordinate Prototype Records, Qualified Prototype Test Record, Qualified/Confirmed Prototype QA Records	Confirmed Prototype Test Record ,   Qualified/Confirmed Prototype QA Records ,   Subordinate prototype QA Records ,   Qualified/Confirmed Prototype Records ,   Subordinate Prototype Records ,   Qualified Prototype Test Record

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ICR Summary of Burden

table that charts list of burden

	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	13,420	13,420	0	0	0	0
Annual Time Burden (Hours)	63,521	63,521	0	0	0	0
Annual Cost Burden (Dollars)	0	22,446,000	0	-22,446,000	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $172,061

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/22/2013

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