Collection of Information; Proposed Extension of Approval; Comment Request-Follow-Up Activities for Product-Related Injuries Including the National Electronic Injury Surveillance System (NEISS)

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July 20, 2021

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Consumer Product Safety Commission

Abstract

As required by the Paperwork Reduction Act of 1995, the Consumer Product Safety Commission (CPSC or Commission) requests comments on a proposed extension of approval for an information collection to obtain data on consumer product-related injuries, and follow-up activities for product-related injuries. The Office of Management and Budget (OMB) previously approved the collection of information under OMB Control No. 3041-0029. CPSC will consider all comments received in response to this notice before requesting an extension of approval of this collection of information from OMB.

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<title>Federal Register, Volume 86 Issue 136 (Tuesday, July 20, 2021)</title>
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[Federal Register Volume 86, Number 136 (Tuesday, July 20, 2021)]
[Notices]
[Pages 38315-38318]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-15385]

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CONSUMER PRODUCT SAFETY COMMISSION

[Docket No. CPSC-2009-0102]

Collection of Information; Proposed Extension of Approval;
Comment Request--Follow-Up Activities for Product-Related Injuries
Including the National Electronic Injury Surveillance System (NEISS)

AGENCY: Consumer Product Safety Commission.

ACTION: Notice.

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SUMMARY: As required by the Paperwork Reduction Act of 1995, the
Consumer Product Safety Commission (CPSC or Commission) requests
comments on a proposed extension of approval for an information
collection to obtain data on consumer product-related injuries, and
follow-up activities for product-related injuries. The Office of
Management and Budget (OMB) previously approved the collection of
information under OMB Control No. 3041-0029. CPSC will consider all
comments received in response to this notice before requesting an
extension of approval of this collection of information from OMB.

DATES: Submit written or electronic comments on the collection of
information by September 20, 2021.

[[Page 38316]]

ADDRESSES: You may submit comments, identified by Docket No. CPSC-2009-
0102, by any of the following methods:
Electronic Submissions: Submit electronic comments to the Federal
eRulemaking Portal at: <a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the
instructions for submitting comments. The CPSC does not accept comments
submitted by electronic mail (email), except through
<a href="http://www.regulations.gov">www.regulations.gov</a>. The CPSC encourages you to submit electronic
comments by using the Federal eRulemaking Portal, as described above.
Mail/hand delivery/courier Written Submissions: Submit comments by
mail/hand delivery/courier to: Division of the Secretariat, Consumer
Product Safety Commission, Room 820, 4330 East West Highway, Bethesda,
MD 20814; telephone: (301) 504-7479; email: <a href="/cdn-cgi/l/email-protection#b7d4c7c4d49ad8c4f7d4c7c4d499d0d8c1"><span class="__cf_email__" data-cfemail="9ffcefecfcb2f0ecdffcefecfcb1f8f0e9">[email&#160;protected]</span></a>.
Instructions: All submissions received must include the agency name
and docket number for this notice. All comments received may be posted
without change, including any personal identifiers, contact
information, or other personal information provided, to: <a href="http://www.regulations.gov">http://www.regulations.gov</a>. Do not submit confidential business information,
trade secret information, or other sensitive or protected information
that you do not want to be available to the public. If furnished at
all, such information should be submitted in writing.
Docket: For access to the docket to read background documents or
comments received, go to: <a href="http://www.regulations.gov">http://www.regulations.gov</a>, and insert the
docket number, CPSC-2009-0102, into the ``Search'' box, and follow the
prompts. A copy of the supporting statement, ``PRI ICR 2021 60-day''
will be made available under Supporting and Related Materials.

FOR FURTHER INFORMATION CONTACT: For further information or a copy of
the supporting statement contact: Bretford Griffin, Consumer Product
Safety Commission, 4330 East West Highway, Bethesda, MD 20814; (301)
504-7037, or by email to: <a href="/cdn-cgi/l/email-protection#a1c3c6d3c8c7c7c8cfe1c2d1d2c28fc6ced7"><span class="__cf_email__" data-cfemail="bddfdacfd4dbdbd4d3fddecdcede93dad2cb">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION:

A. Background

Section 5(a) of the Consumer Product Safety Act, 15 U.S.C. 2054(a),
requires the CPSC to collect information related to the causes and
prevention of death, injury, and illness associated with consumer
products. That section also requires the CPSC to conduct continuing
studies and investigations of deaths, injuries, diseases, other health
impairments, and economic losses resulting from accidents involving
consumer products.
The CPSC obtains information about product-related deaths,
injuries, and illnesses from a variety of sources, including
newspapers, death certificates, consumer complaints, and medical
facilities. In addition, the CPSC receives information through its
internet website through forms reporting on product-related injuries or
incidents. The CPSC also operates the National Electronic Injury
Surveillance System (NEISS), which provides statistical data on
consumer product-related injuries treated in hospital emergency
departments in the United States. The CPSC also uses the NEISS system
to collect information on childhood poisonings, in accordance with the
Poison Prevention Packaging Act of 1970.
From these sources, CPSC staff selects cases of interest for
further investigation, by contacting persons who witnessed or were
injured in incidents involving consumer products. These investigations
are conducted on-site (face-to-face), by telephone, or by the internet.
On-site investigations are usually made in cases where CPSC staff needs
photographs of the incident site, the product involved, or detailed
information about the incident. This information can come from face-to-
face interviews with persons who were injured or who witnessed the
incident, as well as via contact with state and local officials,
including police, coroners, and fire investigators, and others with
knowledge of the incident.
Through interagency agreements, the CPSC also uses the NEISS system
to collect information on injuries for the Centers for Disease Control
and Prevention (CDC) under the NEISS All Injury Program (NEISS-AIP).
The NEISS-AIP is a sub-sample of approximately two-thirds of the full
NEISS sample. In addition to the standard data variables collected on
all NEISS injuries, the NEISS-AIP collects variables on several studies
for CDC (Firearm-Related Injuries, Adverse Drug Events, Assaults, Self-
Inflicted Violence, and Work-Related Injuries) and one study on non-
crash, motor vehicle-related injuries for the National Highway and
Transportation Safety Administration (NHTSA).
The current NEISS probability sample was drawn and recruited in
1995-1996, and implemented in 1997. The current NEISS sample consists
of 96 hospital emergency departments grouped into four strata, based on
size, as measured by the annual number of emergency department (ED)
visits, and a fifth stratum for children's hospitals. When a hospital
stops participating in the NEISS, staff recruits a hospital of similar
size and geographic location as a replacement. If a participating
hospital closes, it is not replaced, because its closure is presumed to
represent other hospitals that have closed nationally. As of January 1,
2021, there are currently 81 hospitals participating in the NEISS.
In September 2019, CPSC contracted with Westat, Inc., under CPSC
contract 61320619F0134, to give the agency an independent statistical
assessment of the NEISS and the NEISS-AIP samples.\1\ The primary focus
of this contract was to analyze the advantages and disadvantages of
keeping, expanding, or resampling the current samples of NEISS and
NEISS-AIP hospitals. Westat recommended that CPSC redesign the NEISS
sample, and, consistent with that recommendation, CPSC is revising its
sampling methodology.
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\1\ David Marker, Jim Green, Frost Hubbord, Richard Valliant,
``Statistical Assessment of the NEISS and NEISS-AIP Samples: Final
Technical Report,'' Westat Inc., September 24, 2020.
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In the redesigned NEISS sample, CPSC staff uses a resampling method
that maximizes the probability of retaining as many of the current
NEISS hospitals as possible, while maintaining the statistical
integrity of the NEISS. Among eligible hospital emergency departments,
some have migrated from one stratum to another; others have come into
existence since the last resampling of the NEISS, or ceased to exist.
The method used in resampling the NEISS is an extension of the Keyfitz
procedures for stratified simple random samples.\2\ Staff identified
several advantages of retaining as many of the current NEISS hospitals
as possible, including: (1) The contracting, data collection, and
quality-control mechanisms already exist in the hospitals in the
current sample; (2) it is a cost-effective procedure; and (3) there is
less disruption in trend analysis. The new NEISS sample will contain a
mixture of current NEISS hospitals, along with new hospitals recruited
to join the NEISS, as follows:
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\2\ J. Michael Brick, David R. Morganstein, Charles, L. Wolter,
``Additional Uses for Keyfitz Selection,'' Westat Inc., 1987.
(<a href="http://www.asasrms.org/Proceedings/papers/1987_140.pdf">http://www.asasrms.org/Proceedings/papers/1987_140.pdf</a>).

[[Page 38317]]

New NEISS Sample
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2021 NEISS: 2021 NEISS: 2021 NEISS: 2021 NEISS:
Stratum NEISS redesign reporting reporting replacements replacements New
(retained) (dropped) (retained) (dropped)
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Small................................................... 43 30 0 8 3 5
Medium.................................................. 26 14 1 1 0 11
Large................................................... 12 11 8 0 1 1
Very Large.............................................. 11 9 0 2 0 0
Children's.............................................. 8 7 1 0 0 1
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Total............................................... 100 71 10 11 4 18
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CPSC recognizes that one of the advantages of a long-running NEISS
sample is the ability to track trends across time, and updating the
NEISS sample will impact that analysis. An overlap, or bridge period,
during which data are collected from the old and the new samples, can
adjust for any time series that crosses over two NEISS samples. CPSC
plans to conduct a 12-month overlap as part of the implementation of
the new NEISS sample. Having a full 12-month overlap period accounts
better for seasonality of some consumer product-related injuries. By
comparing estimates calculated from both samples, it is possible to
adjust (backcast) old estimates to be consistent with the new sample.
The overlap period will consist of all of calendar year 2023, but it is
dependent on the successful recruitment of the 11 replacement and 18
new hospitals. If NEISS hospital recruitment is successful, the overlap
period will run all of calendar year 2023. The national estimates for
2023 will be calculated using the new NEISS sample with historical
estimates from 2022, and prior years ``backcast'' to adjust for the
sample update. If NEISS hospital recruitment is delayed, and the 12-
month overlap period spans July 2023 through June 2024, then 2023
national estimates will be calculated using the old NEISS sample, and
2024 national estimates would use the new NEISS sample.
OMB previously approved the collection of information concerning
product-related injuries under control number 3041-0029. OMB's most
recent extension of approval will expire on July 31, 2022. However, to
reflect CPSC's revised sampling methodology and resulting changes to
the associated burden hours, CPSC is providing notice in this document
prior to the expiration date, and now proposes to request an extension
of approval of this updated collection of information.

B. NEISS Estimated Burden

The NEISS system collects information on consumer product-related
incidents and other injuries from a statistical sample of hospitals in
the United States. The number of hospitals participating in CY 2021
through CY 2024 will fluctuate from the current 81 reporting, to as
high as 110.
Respondents to NEISS include hospitals that directly report
information to NEISS, and hospitals that allow access to a CPSC
contractor who collects the data. Collecting emergency department
records for review, correcting error messages, and other tasks takes
from 2.5 to 6 hours weekly. Each record requires about 30 seconds to
review. Coding and reporting records that involve consumer products or
other injuries takes about 2 minutes per record. Coding and reporting
on additional special study information (Adverse Drug Effects) takes
about 2 minutes and 90 seconds per record for other special studies.
Respondents also spend about 8 to 36 hours per year in related
activities (training, evaluations, and communicating with other
hospital staff).
During CY 2023, assuming there will be a total of 110 hospitals
participating in the NEISS, with an estimated 160 NEISS respondents
(total hospitals and CPSC contractors), these NEISS respondents will
review an estimated 6 million emergency department records and report
1.2 million total cases (470,000 consumer product-related injuries for
CPSC, and 730,000 other injuries for the NEISS-AIP). The table below
lists the estimated number of reported cases, and the estimated number
of reported cases with additional special study information.

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Total NEISS Cases Reported.............................. 1.2 million
Consumer Product-Related Injuries....................... 470,000
CDC NEISS-AIP........................................... 730,000
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Special Studies Reported (subset of above)
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Child Poisoning (CPSC).................................. 5,000
Adverse Drug Events (CDC)............................... 94,000
Assaults (CDC).......................................... 84,000
Firearm-Related Injuries (CDC).......................... 12,000
Self-Inflicted Violence (CDC)........................... 22,000
Work-Related Injuries (CDC)............................. 54,000
Motor Vehicle Non-Crash Injuries (NHTSA)................ 17,000
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The total burden hours for all NEISS respondents are estimated to
be 130,000 for CY 2023. The average burden hours per respondent is 800
hours. However, the total burden hours on each respondent varies, due
to differences in the sizes of the hospitals (e.g., small rural
hospitals versus large metropolitan hospitals). The smallest hospital
will report an estimated 250 cases, with a burden of about 150 hours;
while the largest hospital will report an estimated 60,000 cases, with
a burden of about 4,500 hours.
The total costs to NEISS respondents for CY 2023 are estimated at
$6.5 million. NEISS respondents enter into contracts with CPSC and are
compensated for these costs. The average cost per respondent is
estimated to be $41,000. The average cost per burden hour is estimated
to be $50 per hour (including wages and overhead). However, the actual
cost to each respondent varies, due to the type of respondent (hospital
versus CPSC contractor), size of hospital, and regional differences in
wages and overhead. Therefore, the actual annual cost for any given
respondent may vary from $3,000 for a small rural hospital, up to
$450,000 for the largest metropolitan hospital.

C. Other Burden Hours

In cases that require more information regarding product-related
incidents or injuries, CPSC staff conducts face-to-face interviews with
approximately 375 persons each year. On average, an on-site interview
takes about 4.5 hours. CPSC staff also conducts about 2,000 in-depth
investigations (IDIs) by telephone annually using a Computer Assisted
Telephone Interview (CATI) or self-administered Computer Assisted
internet Interview (CAII) questionnaires. Each CATI or CAII IDI
requires about 20 minutes. CPSC staff estimates 2,355 annual burden
hours on these

[[Page 38318]]

respondents: 1,688 hours for face-to-face interviews; 667 hours for in-
depth telephone or internet interviews. CPSC's staff estimates the
value of the time required for reporting is $38.60 an hour (U.S. Bureau
of Labor Statistics, ``Employer Costs for Employee Compensation,''
March 2021: <a href="https://www.bls.gov">https://www.bls.gov</a>>new.release >ecec.toc.htm). At this
valuation, the estimated annual cost to the public is about $90,903.
The cost to the government for the collection of this NEISS information
is estimated to be about $8.9 million a year. This estimate includes
$6.5 million in compensation to NEISS respondents, as described above.
This information collection request excludes the burden associated
with other publicly available Consumer Product Safety Information
Databases, such as internet complaints, Hotline, and Medical Examiners
and Coroners Alert Project (MECAP) reports, which are approved under
OMB control number 3041-0146. This information collection request also
excludes the burden associated with follow-up investigations conducted
by other federal agencies.

D. Request for Comments

The CPSC solicits written comments from all interested persons
about the proposed collection of information. The CPSC specifically
solicits information relevant to the following topics:
<bullet> Whether the collection of information described above is
necessary for the proper performance of the CPSC's functions, including
whether the information would have practical utility;
<bullet> Whether the estimated burden of the proposed collection of
information is accurate;
<bullet> Whether the quality, utility, and clarity of the
information to be collected could be enhanced; and
<bullet> Whether the burden imposed by the collection of
information could be minimized by use of automated, electronic, or
other technological collection techniques, or other forms of
information technology.

Alberta E. Mills,
Secretary, Consumer Product Safety Commission.
[FR Doc. 2021-15385 Filed 7-19-21; 8:45 am]
BILLING CODE 6355-01-P

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