OMB control number
Assessment of Occupational Injury among Fire Fighters Using a Follow-back Survey
OMB 0920-1244 ยท HHS/CDC.
OMB 0920-1244
The purpose of this project is to describe nonfatal occupational injuries and exposures of fire fighters treated in a nationally stratified sample of emergency departments. Data will be collected via telephone interviews. Results will offer insight into characteristics of fire fighters' injuries and exposures in an effort to reduce the number of injuries and exposures in this important workforce.
The latest form for Assessment of Occupational Injury among Fire Fighters Using a Follow-back Survey expires 2021-10-31 and is listed under ICR 201806-0920-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 0920-1244 Fire Fighters Follow-back Survey | Form and Instruction |
 Attachment G PIA_National Electronic Injury Surveillance System (NEISS).pdf | Supplementary Document |
| Attachment F- IRB.pdf | Supplementary Document |
| Attachment E_protocol.docx | Supplementary Document |
| Attachment D FF Pre_Interview_Consent_Letter.docx | Supplementary Document |
| Attachment A_OSH Act.docx | Supplementary Document |
| Attachment B FF 60-day FRN.pdf | Supplementary Document |
| FF_ICR_SupportingStatement_B Sept_2021_final.docx | Supporting Statement B |
| FF_ICR_SupportingStatement_A Sept_2021_final.docx | Supporting Statement A |
 Fire Fighters Follow-back Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202109-0920-012 | Extension without change of a currently approved collection | 2021-10-13 | Approved without change | |
| 201806-0920-005 | New collection (Request for a new OMB Control Number) | 2018-07-05 | Approved with change |