Follow-Up Activities for Product-Related Injuries-Interviews

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

Documents and Forms

Document Name Document Type
Bicycle_Study_Survey_-_Contractors.pdf Other-Survey Flow
Fireworks_Questionnaire_Contractor_2021.pdf Other-Survey Flow

Information Collection (IC) Details

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Flow			Bicycle_Study_Survey_-_Contractors.pdf		Yes	Yes	Fillable Fileable
Other-Survey Flow			Fireworks_Questionnaire_Contractor_2021.pdf		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 %

	Requested	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

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.