Document Name Document Type
Form 182 Follow-Up Activities for Product-Related Injuries-Interviews Form and Instruction
CATI Battery Exposures.pdf Instruction
CATI Children Clothing Ignition.pdf Instruction
CATI Childrens Poisonings.pdf Instruction
CATI E-Scooter (self).pdf Instruction
CATI E-Scooter.pdf Instruction
CATI fireworks.pdf Instruction
CATI Submersions.pdf Instruction
CATI TV-tipovers.pdf Instruction
182 Epidemiologic Investigation Report Form 182 from 2011 Field Manual for Investigations.pdf Form and Instruction
All SEC15.pdf All SEC15 IC Document
BUNN01 a GENERAL fire thermal burns - NO SAMPLE.pdf BUNN01 a GENERAL fire thermal burns - NO SAMPLE IC Document
BUNN01 a GENERAL fire thermal burns - YES SAMPLE.pdf BUNN01 a GENERAL fire thermal burns - YES SAMPLE IC Document
BUNN01 a GENERAL fire thermal burns.pdf BUNN01 a GENERAL fire thermal burns IC Document
BUNN01 b - turkey fryers.pdf BUNN01 b - turkey fryers IC Document
BUNN01 fire - outdoor gasoline appliances with SAMPLE.pdf BUNN01 fire - outdoor gasoline appliances with SAMPLE IC Document
BUNN01 fire - outdoor gasoline appliances.pdf BUNN01 fire - outdoor gasoline appliances IC Document
BUNN01 fire - riding lawn mowers with SAMPLE.pdf BUNN01 fire - riding lawn mowers with SAMPLE IC Document
BUNN01 fire - riding lawn mowers.pdf BUNN01 fire - riding lawn mowers IC Document
BUNN01 fire - walk behind mowers with SAMPLE.pdf BUNN01 fire - walk behind mowers with SAMPLE IC Document
BUNN01 fire - walk behind mowers.pdf BUNN01 fire - walk behind mowers IC Document
BUNN01 flame jetting incidents.pdf BUNN01 flame jetting incidents IC Document
BUNN01 generator fires.pdf BUNN01 generator fires IC Document
BUNN01 NFIRS Data Check Assignment.pdf BUNN01 NFIRS Data Check Assignment IC Document
BUNN04 High Energy Density Battery Fires-general.pdf BUNN04 High Energy Density Battery Fires-general IC Document
BUNN04 High Energy Density Battery Fires-transport.pdf BUNN04 High Energy Density Battery Fires-transport IC Document
BUNN11 childrens wearing apparel.pdf BUNN11 childrens wearing apparel IC Document
BUNN12 mattress bedding fire incidents.pdf BUNN12 mattress bedding fire incidents IC Document
BUNN25 upholstered furniture.pdf BUNN25 upholstered furniture IC Document
BUNN39 LP and NG Gas Systems.pdf BUNN39 LP and NG Gas Systems IC Document
BUNN41 candles and accessories.pdf BUNN41 candles and accessories IC Document
BUNN45 fire and explosions in LP gas grills.pdf BUNN45 fire and explosions in LP gas grills IC Document
CARM02 fireworks.pdf CARM02 fireworks IC Document
CARM05 glass doors.pdf CARM05 glass doors IC Document
CARM10 automatic garage doors operations.pdf CARM10 automatic garage doors operations IC Document
CARM11 multi-purpose lighters.pdf CARM11 multi-purpose lighters IC Document
CARM12 Portable Fuel Containers.pdf CARM12 Portable Fuel Containers IC Document
CARM13 Compliance NFIRS Cases.pdf CARM13 Compliance NFIRS Cases IC Document
CASN05 glass doors-NEISS.pdf CASN05 glass doors-NEISS IC Document
CHNN01 poisoning over 5.pdf CHNN01 poisoning over 5 IC Document
CHNN08 poisoning under 5.pdf CHNN08 poisoning under 5 IC Document
CHNN11 battery exposures.pdf CHNN11 battery exposures IC Document
ELNN01 electrical hazards - electrocution & shock.pdf ELNN01 electrical hazards - electrocution & shock IC Document
ELNN01 electrical hazards - fires.pdf ELNN01 electrical hazards - fires IC Document
ELNN01 electrical hazards - Internet of Things incident.pdf ELNN01 electrical hazards - Internet of Things incident IC Document
SECTAB - multi-cooker.pdf SECTAB - multi-cooker IC Document
SECTTV - Compliance Tipover GENERAL incident.pdf SECTTV - Compliance Tipover GENERAL incident IC Document
SECTVC - blenders incidents.pdf SECTVC - blenders incidents IC Document
SECTVC - Fire Extinguisher Incidents.pdf SECTVC - Fire Extinguisher Incidents IC Document
SECTVC - Riding Mower Incidents.pdf SECTVC - Riding Mower Incidents IC Document
STAN16-1-NEISS FATAL pool and spa submersions & drownings.pdf STAN16-1-NEISS FATAL pool and spa submersions & drownings IC Document
STAN16-2-NEISS infant bathing product submersions & drownings.pdf STAN16-2-NEISS infant bathing product submersions & drownings IC Document
STAN16-3-NEISS pool and spa drain entrapment.pdf STAN16-3-NEISS pool and spa drain entrapment IC Document
STNN25 carbon monoxide general - FATALITY.pdf STNN25 carbon monoxide general - FATALITY IC Document
STNN25 carbon monoxide general - NON FATALITY.pdf STNN25 carbon monoxide general - NON FATALITY IC Document
STNN34 carbon monoxide fatality - DEATH CERTS.pdf STNN34 carbon monoxide fatality - DEATH CERTS IC Document
STNN36 co poisoning- Generators.pdf STNN36 co poisoning- Generators IC Document
STNN36 co poisoning- NON-generators engine powered tools.pdf STNN36 co poisoning- NON-generators engine powered tools IC Document
TLNN01 automatic doors.pdf TLNN01 automatic doors IC Document
TLNN01 go-karts and fun-karts.pdf TLNN01 go-karts and fun-karts IC Document
TLNN01 home power tools.pdf TLNN01 home power tools IC Document
TLNN01 tablesaws.pdf TLNN01 tablesaws IC Document
TLNN03 pressure cookers.pdf TLNN03 pressure cookers IC Document
TLNN15 chain saws.pdf TLNN15 chain saws IC Document
TLNN18 circular saws.pdf TLNN18 circular saws IC Document
TYAN09 ATV fatalities-NEISS.pdf TYAN09 ATV fatalities-NEISS IC Document
TYNN01 toys - general.pdf TYNN01 toys - general IC Document
TYNN02 toys - integrated product team assignment.pdf TYNN02 toys - integrated product team assignment IC Document
TYNN05 childrens products - general.pdf TYNN05 childrens products - general IC Document
TYNN09 ATV fatalities.pdf TYNN09 ATV fatalities IC Document
TYNN09 UTV fatalities.pdf TYNN09 UTV fatalities IC Document
TYNN26-1-FATAL pool and spa submersions & drownings.pdf TYNN26-1-FATAL pool and spa submersions & drownings IC Document
TYNN26-2-infant bathing product submersions & drownings.pdf TYNN26-2-infant bathing product submersions & drownings IC Document
TYNN26-3-pool and spa drain entrapment.pdf TYNN26-3-pool and spa drain entrapment IC Document
TYNN27-NONFATAL pool and spa submersion.pdf TYNN27-NONFATAL pool and spa submersion IC Document
TYNN31 nursery equipment - a general.pdf TYNN31 nursery equipment - a general IC Document
TYNN31 nursery equipment - A.pdf TYNN31 nursery equipment - A IC Document
TYNN31 nursery equipment - B.pdf TYNN31 nursery equipment - B IC Document
TYNN32 playground equipment.pdf TYNN32 playground equipment IC Document
TYNN33 sports-related deaths or injuries.pdf TYNN33 sports-related deaths or injuries IC Document
TYNN34 Teen Sports Helmets.pdf TYNN34 Teen Sports Helmets IC Document
TYNN40 TV and furniture tipover.pdf TYNN40 TV and furniture tipover IC Document
TYNN45 window blind cord incidents.pdf TYNN45 window blind cord incidents IC Document
TYSN09 ATV fatalities-NEISS.pdf TYSN09 ATV fatalities-NEISS IC Document
TYSN34 NEISS Teen Sports Helmets.pdf TYSN34 NEISS Teen Sports Helmets IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-Up Activities for Product-Related Injuries-Interviews	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	182	Epidemiologic Investigation Report	Form 182 from 2011 Field Manual for Investigations.pdf	Yes	Yes	Fillable Fileable
Instruction			CATI Battery Exposures.pdf	Yes	No	Fillable Printable
Instruction			CATI Submersions.pdf	Yes	No	Fillable Printable
Instruction			CATI Childrens Poisonings.pdf	Yes	No	Fillable Printable
Instruction			CATI E-Scooter (self).pdf	Yes	No	Fillable Printable
Instruction			CATI E-Scooter.pdf	Yes	No	Fillable Printable
Instruction			CATI fireworks.pdf	Yes	No	Fillable Printable
Instruction			CATI TV-tipovers.pdf	Yes	No	Fillable Printable
Instruction			CATI Children Clothing Ignition.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: CPSC-1	FR Citation: 63 FR 250

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 9 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	600	-1,580	2,180
Annual IC Time Burden (Hours)	1,763	120	1,643
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
All SEC15	All SEC15.pdf	03/10/2020
BUNN01 a GENERAL fire thermal burns - NO SAMPLE	BUNN01 a GENERAL fire thermal burns - NO SAMPLE.pdf	03/10/2020
BUNN01 a GENERAL fire thermal burns - YES SAMPLE	BUNN01 a GENERAL fire thermal burns - YES SAMPLE.pdf	03/10/2020
BUNN01 a GENERAL fire thermal burns	BUNN01 a GENERAL fire thermal burns.pdf	03/10/2020
BUNN01 b - turkey fryers	BUNN01 b - turkey fryers.pdf	03/10/2020
BUNN01 fire - outdoor gasoline appliances with SAMPLE	BUNN01 fire - outdoor gasoline appliances with SAMPLE.pdf	03/10/2020
BUNN01 fire - outdoor gasoline appliances	BUNN01 fire - outdoor gasoline appliances.pdf	03/10/2020
BUNN01 fire - riding lawn mowers with SAMPLE	BUNN01 fire - riding lawn mowers with SAMPLE.pdf	03/10/2020
BUNN01 fire - riding lawn mowers	BUNN01 fire - riding lawn mowers.pdf	03/10/2020
BUNN01 fire - walk behind mowers with SAMPLE	BUNN01 fire - walk behind mowers with SAMPLE.pdf	03/10/2020
BUNN01 fire - walk behind mowers	BUNN01 fire - walk behind mowers.pdf	03/10/2020
BUNN01 flame jetting incidents	BUNN01 flame jetting incidents.pdf	03/10/2020
BUNN01 generator fires	BUNN01 generator fires.pdf	03/10/2020
BUNN01 NFIRS Data Check Assignment	BUNN01 NFIRS Data Check Assignment.pdf	03/10/2020
BUNN04 High Energy Density Battery Fires-general	BUNN04 High Energy Density Battery Fires-general.pdf	03/10/2020
BUNN04 High Energy Density Battery Fires-transport	BUNN04 High Energy Density Battery Fires-transport.pdf	03/10/2020
BUNN11 childrens wearing apparel	BUNN11 childrens wearing apparel.pdf	03/10/2020
BUNN12 mattress bedding fire incidents	BUNN12 mattress bedding fire incidents.pdf	03/10/2020
BUNN25 upholstered furniture	BUNN25 upholstered furniture.pdf	03/10/2020
BUNN39 LP and NG Gas Systems	BUNN39 LP and NG Gas Systems.pdf	03/10/2020
BUNN41 candles and accessories	BUNN41 candles and accessories.pdf	03/10/2020
BUNN45 fire and explosions in LP gas grills	BUNN45 fire and explosions in LP gas grills.pdf	03/10/2020
CARM02 fireworks	CARM02 fireworks.pdf	03/10/2020
CARM05 glass doors	CARM05 glass doors.pdf	03/10/2020
CARM10 automatic garage doors operations	CARM10 automatic garage doors operations.pdf	03/10/2020
CARM11 multi-purpose lighters	CARM11 multi-purpose lighters.pdf	03/10/2020
CARM12 Portable Fuel Containers	CARM12 Portable Fuel Containers.pdf	03/10/2020
CARM13 Compliance NFIRS Cases	CARM13 Compliance NFIRS Cases.pdf	03/10/2020
CASN05 glass doors-NEISS	CASN05 glass doors-NEISS.pdf	03/10/2020
CHNN01 poisoning over 5	CHNN01 poisoning over 5.pdf	03/10/2020
CHNN08 poisoning under 5	CHNN08 poisoning under 5.pdf	03/10/2020
CHNN11 battery exposures	CHNN11 battery exposures.pdf	03/10/2020
ELNN01 electrical hazards - electrocution & shock	ELNN01 electrical hazards - electrocution & shock.pdf	03/10/2020
ELNN01 electrical hazards - fires	ELNN01 electrical hazards - fires.pdf	03/10/2020
ELNN01 electrical hazards - Internet of Things incident	ELNN01 electrical hazards - Internet of Things incident.pdf	03/10/2020
SECTAB - multi-cooker	SECTAB - multi-cooker.pdf	03/10/2020
SECTTV - Compliance Tipover GENERAL incident	SECTTV - Compliance Tipover GENERAL incident.pdf	03/10/2020
SECTVC - blenders incidents	SECTVC - blenders incidents.pdf	03/10/2020
SECTVC - Fire Extinguisher Incidents	SECTVC - Fire Extinguisher Incidents.pdf	03/10/2020
SECTVC - Riding Mower Incidents	SECTVC - Riding Mower Incidents.pdf	03/10/2020
STAN16-1-NEISS FATAL pool and spa submersions & drownings	STAN16-1-NEISS FATAL pool and spa submersions & drownings.pdf	03/10/2020
STAN16-2-NEISS infant bathing product submersions & drownings	STAN16-2-NEISS infant bathing product submersions & drownings.pdf	03/10/2020
STAN16-3-NEISS pool and spa drain entrapment	STAN16-3-NEISS pool and spa drain entrapment.pdf	03/10/2020
STNN25 carbon monoxide general - FATALITY	STNN25 carbon monoxide general - FATALITY.pdf	03/10/2020
STNN25 carbon monoxide general - NON FATALITY	STNN25 carbon monoxide general - NON FATALITY.pdf	03/10/2020
STNN34 carbon monoxide fatality - DEATH CERTS	STNN34 carbon monoxide fatality - DEATH CERTS.pdf	03/10/2020
STNN36 co poisoning- Generators	STNN36 co poisoning- Generators.pdf	03/10/2020
STNN36 co poisoning- NON-generators engine powered tools	STNN36 co poisoning- NON-generators engine powered tools.pdf	03/10/2020
TLNN01 automatic doors	TLNN01 automatic doors.pdf	03/10/2020
TLNN01 go-karts and fun-karts	TLNN01 go-karts and fun-karts.pdf	03/10/2020
TLNN01 home power tools	TLNN01 home power tools.pdf	03/10/2020
TLNN01 tablesaws	TLNN01 tablesaws.pdf	03/10/2020
TLNN03 pressure cookers	TLNN03 pressure cookers.pdf	03/10/2020
TLNN15 chain saws	TLNN15 chain saws.pdf	03/10/2020
TLNN18 circular saws	TLNN18 circular saws.pdf	03/10/2020
TYAN09 ATV fatalities-NEISS	TYAN09 ATV fatalities-NEISS.pdf	03/10/2020
TYNN01 toys - general	TYNN01 toys - general.pdf	03/10/2020
TYNN02 toys - integrated product team assignment	TYNN02 toys - integrated product team assignment.pdf	03/10/2020
TYNN05 childrens products - general	TYNN05 childrens products - general.pdf	03/10/2020
TYNN09 ATV fatalities	TYNN09 ATV fatalities.pdf	03/10/2020
TYNN09 UTV fatalities	TYNN09 UTV fatalities.pdf	03/10/2020
TYNN26-1-FATAL pool and spa submersions & drownings	TYNN26-1-FATAL pool and spa submersions & drownings.pdf	03/10/2020
TYNN26-2-infant bathing product submersions & drownings	TYNN26-2-infant bathing product submersions & drownings.pdf	03/10/2020
TYNN26-3-pool and spa drain entrapment	TYNN26-3-pool and spa drain entrapment.pdf	03/10/2020
TYNN27-NONFATAL pool and spa submersion	TYNN27-NONFATAL pool and spa submersion.pdf	03/10/2020
TYNN31 nursery equipment - a general	TYNN31 nursery equipment - a general.pdf	03/10/2020
TYNN31 nursery equipment - A	TYNN31 nursery equipment - A.pdf	03/11/2020
TYNN31 nursery equipment - B	TYNN31 nursery equipment - B.pdf	03/11/2020
TYNN32 playground equipment	TYNN32 playground equipment.pdf	03/11/2020
TYNN33 sports-related deaths or injuries	TYNN33 sports-related deaths or injuries.pdf	03/11/2020
TYNN34 Teen Sports Helmets	TYNN34 Teen Sports Helmets.pdf	03/11/2020
TYNN40 TV and furniture tipover	TYNN40 TV and furniture tipover.pdf	03/11/2020
TYNN45 window blind cord incidents	TYNN45 window blind cord incidents.pdf	03/11/2020
TYSN09 ATV fatalities-NEISS	TYSN09 ATV fatalities-NEISS.pdf	03/11/2020
TYSN34 NEISS Teen Sports Helmets	TYSN34 NEISS Teen Sports Helmets.pdf	03/11/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Follow-Up Activities for Product-Related Injuries-Interviews

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

OMB: 3041-0029

IC ID: 29149

View Information Collection (IC)