Information Collection

Follow-Up Activities for Product-Related Injuries-Interviews

IC 29149 under ICR 202502-3041-001 · OMB 3041-0029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Bicycle_Study_Survey_-_Contractors.pdf	Other-Survey Flow
Fireworks_Questionnaire_Contractor_2021.pdf	Other-Survey Flow
E-Scooter Survey_Updated Demographics.pdf	Other-Self-administerd web survey /

IC Title:

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
Other-Self-administerd web survey / phone survey					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title: NEISS

FR Citation: 63 FR 250

Number of Respondents: 2,950

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 84 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,950	575	2,375
Annual IC Time Burden (Hours)	13,523	11,168	2,355
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.

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