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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Follow-UP Activities for Product-Related Injuries
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
Instruction
OMB(41)Form175.pdf
https://www.cpsc.gov/incident.html
Yes
Yes
Fillable Fileable
Form
182
Epidemiologic Investigation Report
OMB(36)Form182.pdf
Yes
Yes
Fillable Fileable
Other-Form
OMB0029_2010_1_Internet State Local Officials Reporting.pdf
https://www.cpsc.gov/cgibin/fpinc.aspx
Yes
Yes
Fillable Fileable
Other-Form
OMB0029_2010_3_Internet Healthcare Reporting.pdf
https://www.cpsc.gov/cgibin/hcpinc.aspx
Yes
Yes
Fillable Fileable
Other-Form
OMB0029_2010_4_Internet Incident.pdf
https://www.cpsc.gov/cgibin/incident.aspx
Yes
Yes
Fillable Fileable
Other-form
OMB0029_2010_5_Internet MECAP Reporting.pdf
https://www.cpsc.gov/cgibin/mecap.aspx
Yes
Yes
Fillable Fileable
Other-form
OMB0029_2010_2_Internet Drywall.pdf
https://www.cpsc.gov/cgibin/drywall.aspx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
CPSC-1
FR Citation:
63 FR 250
Number of Respondents:
17,572
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
46 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
393,952
0
379,101
0
0
14,851
Annual IC Time Burden (Hours)
49,705
0
42,675
0
0
7,030
Annual IC Cost Burden (Dollars)
1,726,390
0
1,726,390
0
0
0
Documents for IC
Title
Document
Date Uploaded
State and Local Officials Reporting
OMB0029_2010_1_Internet State Local Officials Reporting.pdf
03/24/2010
Internet Drywall Reporting
OMB0029_2010_2_Internet Drywall.pdf
03/24/2010
Internet Healthcare Reporting
OMB0029_2010_3_Internet Healthcare Reporting.pdf
03/24/2010
Internet Incident Reporting
OMB0029_2010_4_Internet Incident.pdf
03/24/2010
Internet MECAP reporting
OMB0029_2010_5_Internet MECAP Reporting.pdf
03/24/2010
Television tipover guidelines
OMB0029_2010_6_Television Tipovers.pdf
03/24/2010
Crib Falls guidelines
OMB0029_2010_7_crib falls.pdf
03/24/2010
General Fire guidelines
OMB0029_2010_8_general fire.pdf
03/24/2010
General Respondent NEISS
OMB0029_2010_9_General Respondent NEISS.pdf
03/24/2010
Generators guidelines
OMB0029_2010_10_generators.pdf
03/24/2010
Saws Guidelines
OMB0029_2010_11_Saws.pdf
03/24/2010
Submersion Guidelines
OMB0029_2010_12_submersion.pdf
03/24/2010
NEISS and Childhood Poisoning Guidelines
OMB0029_2010_13_NEISS & Childhood Poisoning.pdf
03/24/2010
Windown Covering cords Guidelines
OMB0029_2010_14_Window covering cords.pdf
03/24/2010
Chain Saws Guidelines
OMB0029_2010_15_chain saws.pdf
03/24/2010
Range Oven Fires guidelines
OMB0029_2010_16_Range oven fires.pdf
03/24/2010
Heat Tapes Guidelines
OMB0029_2010_17_heat tapes.pdf
03/24/2010
Riding Mowers Guidelines
OMB0029_2010_18_riding mowers.pdf
03/24/2010
Mattress Bedding Fires Guidelines
OMB0029_2010_19_mattress bedding fires.pdf
03/24/2010
CO Poisoning Guidelines
OMB0029_2010_20_CO poisoning.pdf
03/24/2010
Upholstered Furniture Guidelines
OMB0029_2010_21_Upholstered Furniture.pdf
03/24/2010
Children Wearing Apparel Guidelines
OMB0029_2010_23_Children wearing apparel.pdf
03/24/2010
Toys Guidelines
OMB0029_2010_24_Toys.pdf
03/24/2010
Electric Shock Guidelines
OMB0029_2010_25_electric shock.pdf
03/24/2010
Structural Entrapment Guidelines
OMB0029_2010_26_Structural entrapment.pdf
03/24/2010
Playground Guidelines
OMB0029_2010_27_Playground.pdf
03/24/2010
Spas Guidelines
OMB0029_2010_28_Spas.pdf
03/24/2010
Bicycles Guidelines
OMB0029_2010_29_Bicycles.pdf
03/24/2010
Child Play Lighters Guidelines
OMB0029_2010_30_Child Play lighters.pdf
03/24/2010
Nursery Products Guidelines
OMB0029_2010_31_Nursery products.pdf
03/24/2010
Small Products Guidelines
OMB0029_2010_32_Small products.pdf
03/24/2010
Hedge Trimmers Guidelines
OMB0029_2010_33_Hedge trimmers.pdf
03/24/2010
Space Heaters Guidelines
OMB0029_2010_34_space heaters.pdf
03/24/2010
Power Tools Guidelines
OMB0029_2010_35_power tools.pdf
03/24/2010
Power Toys Guidelines
OMB0029_2010_36_power toys.pdf
03/24/2010
Radial Arm Saws Guidelines
OMB0029_2010_37_radial arm saws.pdf
03/24/2010
Snow Throwers Guidelines
OMB0029_2010_38_snow throwers.pdf
03/24/2010
Space Heaters Guidelines
OMB0029_2010_39_space heaters.pdf
03/24/2010
Swimming Pools Guidelines
OMB0029_2010_40_swimming pools.pdf
03/24/2010
Table Saw Guidelines
OMB0029_2010_41_table saw.pdf
03/24/2010
High Chair Nomenclature Guidelines
OMB0029_2010_42_high chair nomenclature.pdf
03/24/2010
Play Pen Nomenclature Guidelines
OMB0029_2010_43_play pen nomenclature.pdf
03/24/2010
Electric Distribution Systems Guidelines
OMB0029_2010_44_Electrical distribution systems.pdf
03/24/2010
Garage Door Operators Guidelines
OMB0029_2010_45_garage door operators.pdf
03/24/2010
Grass Trimmers Guidelines
OMB0029_2010_46_grass trimmers.pdf
03/24/2010
Brushcutters Guidelines
OMB0029_2010_47_brushcutters.pdf
03/24/2010
Fire Alert Guidelines
OMB0029_2010_48_fire alert.pdf
03/24/2010
ATV Guidelines
OMB0029_2010_49_ATV.pdf
03/24/2010
Smoke Detector Guidelines
OMB0029_2010_50_smoke detector.pdf
03/24/2010
Amusement Rides Guidelines
OMB0029_2010_51_amusement rides.pdf
03/24/2010
LP Gas Fuel Train Guideliens
OMB0029_2010_52_LP gas fuel train.pdf
03/24/2010
Furnaces Guidelines
OMB0029_2010_53_furnaces.pdf
03/24/2010
Carpet and Rug Guidelines
OMB0029_2010_55_carpet and rug.pdf
03/24/2010
Bike Helmets Guidelines
OMB0029_2010_56_bike helmets.pdf
03/24/2010
Infant Suffocation Guidelines
OMB0029_2010_57_infant suffocations.pdf
03/24/2010
Fireworks Guidelines
OMB0029_2010_58_fireworks.pdf
03/24/2010
Baby Walkers Guidelines
OMB0029_2010_59_baby walkers.pdf
03/24/2010
Bathtub Incidents Guidelines
OMB0029_2010_60_bathtub incidents.pdf
03/24/2010
Bucket Drownings Guidelines
OMB0029_2010_61_bucket drownings.pdf
03/24/2010
Non Powder Guns Guidelines
OMB0029_2010_62_Nonpowder guns.pdf
03/24/2010
Dishwashers Guidelines
OMB0029_2010_63_dishwashers.pdf
03/24/2010
Automatic Gate Opertors Guidelines
OMB0029_2010_64_Automatic Gate Opertors.pdf
03/24/2010
Fun Karts Guildeliens
OMB0029_2010_65_Fun Karts.pdf
03/24/2010
Wall Covering Fires Guidelines
OMB0029_2010_66_Wall covering fires.pdf
03/24/2010
Fire Sprinkler Systems
OMB0029_2010_67_Fire sprinkler systems.pdf
03/24/2010
Fixed Position Electric Heaters Guidelines
OMB0029_2010_68_Fixed position electric heaters.pdf
03/24/2010
Canle Fires Guidelines
OMB0029_2010_69_Candle fires.pdf
03/24/2010
Restraints Guidelines
OMB0029_2010_70_Restraints.pdf
03/24/2010
Mobile Home Appliance Fires Guidelines
OMB0029_2010_71_Mobile Home applicance fires.pdf
03/24/2010
Butane Grills Guidelines
OMB0029_2010_72_Butane grills.pdf
03/24/2010
Electric Lighting Products Guidelines
OMB0029_2010_73_electrical lighting products.pdf
03/24/2010
Circuit Breakers Guidelines
OMB0029_2010_74_circuit breakers.pdf
03/24/2010
Smoke Detectors Guidelines
OMB0029_2010_75_smoke detetectors.pdf
03/24/2010
Bath Seat Rings Guidelines
OMB0029_2010_76_bath seats rings.pdf
03/24/2010
Electrical Distribution Systems Guidelines
OMB0029_2010_77_electrical distributon systems.pdf
03/24/2010
Nail Guns Guidelines
OMB0029_2010_78_Nail guns.pdf
03/24/2010
Tree Stands Guidelines
OMB0029_2010_79_Tree stands.pdf
03/24/2010
Paintball Guidelines
OMB0029_2010_80_paintball.pdf
03/24/2010
Cagarette Lighters Guidelines
OMB0029_2010_81_cigarette lighters.pdf
03/24/2010
Portable LP Gas Grills Guidelines
OMB0029_2010_54_portable LP gas grills.pdf
03/24/2010
Adult Wearing Apparel Guidelines
OMB0029_2010_22_Adult Wearing Apparel.pdf
03/24/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.