RAILROAD INJURY AND ILLNESS SUMMARY

ICR 197812-2130-010

OMB: 2130-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
173115 Migrated
ICR Details
2130-0003 197812-2130-010
Historical Active 197611-2130-005
DOT/FRA
RAILROAD INJURY AND ILLNESS SUMMARY
No material or nonsubstantive change to a currently approved collection   No
Emergency 12/31/1978
Approved with change 12/31/1978
Retrieve Notice of Action (NOA) 12/31/1978
  Inventory as of this Action Requested Previously Approved
01/31/1979 01/31/1979 01/31/1979
6,480 0 5,040
29,800 0 30,240
0 0 0



None
None


No

1
IC Title Form No. Form Name
RAILROAD INJURY AND ILLNESS SUMMARY 6180-55

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,480 5,040 0 0 1,440 0
Annual Time Burden (Hours) 29,800 30,240 0 0 -440 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/31/1978


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