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

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Information Collection (IC) Details

View Information Collection (IC)

Follow-Up Activities for Product-Related Injuries-Interviews
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL 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

Health Consumer Health and Safety

CPSC-1  63 FR 250

600 0
   
Individuals or Households
 
   9 %

  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 600 0 0 -1,580 0 2,180
Annual IC Time Burden (Hours) 1,763 0 0 120 0 1,643
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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