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

OMB 3041-0029

Persons who have been injured in or who have witnessed safety- related incidents involving consumer products are an important source of safety information. The Commission uses information obtained from these persons and hospital emergency rooms to support activities to eliminate or reduce unreasonable risks of injury associated with consumer products.

The latest form for National Electronic Injury Surveillance System (NEISS) and Follow-up Activities for Product Related Injuries expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 182 Follow-Up Activities for Product-Related Injuries-Interviews Form and Instruction
Form OMB0029-PC-NEISS-S NEISS Form and Instruction
OMB0029_NEISS_Supporting_Statement_20211115.pdf Supporting Statement B
OMB0029_NEISS_Supporting_Statement_20211115.pdf Supporting Statement A
CPSC_NEISS_AIP_expansion_justification.docx Justification for No Material/Nonsubstantive Change
FY2020 C&R Manual.pdf Supplementary Document
2020 NEISS AIP Coding Manual.pdf Supplementary Document
2020 CPSC Only Non-Trauma Coding Manual.pdf Supplementary Document
30 Day Notice 2019-27509.pdf Supplementary Document
60 Day Notice CPSC-2009-0102-0007.pdf Supplementary Document
Form 182 from 2011 Field Manual for Investigations.pdf Supplementary Document
PIA_National Electronic Injury Surveillance System (NEISS).pdf Supplementary Document
OMB(40)MedicalExaminerCoronerReport.pdf Supplementary Document
OMB(38)HealthCareProfessional.pdf Supplementary Document
OMB(37)FirePoliceInsuranceInvestigator.pdf Supplementary Document
Follow-Up Activities for Product-Related Injuries-Interviews Form and Instruction
NEISS Form and Instruction

All Historical Document Collections

202111-3041-002 Approved with change	Revision of a currently approved collection	2021-11-16
202102-3041-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2021-02-26
201912-3041-001 Approved with change	Revision of a currently approved collection	2019-12-23
201609-3041-002 Approved without change	Revision of a currently approved collection	2016-09-27
201307-3041-001 Approved without change	Revision of a currently approved collection	2013-07-22
201003-3041-005 Approved without change	Revision of a currently approved collection	2010-04-06
200610-3041-004 Approved without change	Extension without change of a currently approved collection	2006-11-09
200307-3041-001 Approved without change	Extension without change of a currently approved collection	2003-07-14
200005-3041-001 Approved without change	Extension without change of a currently approved collection	2000-05-01
199704-3041-001 Approved without change	Extension without change of a currently approved collection	1997-04-04
199405-3041-001 Approved without change	Revision of a currently approved collection	1994-05-17
199103-3041-001 Approved without change	Revision of a currently approved collection	1991-03-05
198803-3041-001 Approved without change	Extension without change of a currently approved collection	1988-03-28
198505-3041-002 Approved without change	Reinstatement with change of a previously approved collection	1985-05-24
198204-3041-001 Approved without change	Revision of a currently approved collection	1982-04-30
198202-3041-002 Approved without change	New collection (Request for a new OMB Control Number)	1982-02-22

OMB Details

Follow-Up Activities for Product-Related Injuries-Interviews

Federal Enterprise Architecture: Health - Consumer Health and Safety

Form 182

Epidemiologic Investigation Report

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.