OMB control number
Poison Help General Population Survey
OMB 0915-0343 · HHS/HSA.
OMB 0915-0343
The Poison Help campaign is the vehicle for introducing the national toll-free telephone number for use in poisoning emergencies and providing poison prevention information. The goal of the Poison Help General Population Survey is to measure the campaign’s current performance. The audience for the campaign is very broad—any person at any time is a potential user of poison center services. A nationally representative tracking survey, required by law for campaign evaluation and reporting, is conducted approximately every 5 years among 2,000 U.S. adult households. The next survey will be conducted by Fall 2017.
The latest form for Poison Help General Population Survey expires 2020-10-31 and is listed under ICR 201709-0915-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Poison Help General Population Survey | Form |
| Appendix F - Frequently Asked Questions.docx | Supplementary Document |
| Appendix E - KRC Research Privacy Notice.docx | Supplementary Document |
 60-day FRN Poison Help 0343 Reinstatement.pdf | Supplementary Document |
| Supporting Statement B.docx | Supporting Statement B |
| Supporting Statement A.docx | Supporting Statement A |
 Poison Help General Population Survey |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201709-0915-001 | Reinstatement with change of a previously approved collection | 2017-09-18 | Approved without change | |
| 201107-0915-001 | New collection (Request for a new OMB Control Number) | 2011-07-25 | Approved with change |