Assessment of Occupational Injury among Fire Fighters Using a Follow-back Survey

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

202109-0920-012 Approved without change	Extension without change of a currently approved collection	2021-10-13
201806-0920-005 Approved with change	New collection (Request for a new OMB Control Number)	2018-07-05