Causal Analysis and Countermeasures to Reduce Rail-related Suicides

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FRA F 6180.125A Causal Analysis and Countermeasures to Reduce Rail-related Suicides	Form	New	Repair queued
drfSuicideStdy - Part B.doc	Supporting Statement B	Uploaded 2007-05-11	Available
drfSuicideStdy - Part A.doc	Supporting Statement A	Uploaded 2007-05-11	Available
AASCoverLttr.doc	Supplementary Document	Uploaded 2007-04-16	Available
AAS-FTA letter 04-16-07.doc	Supplementary Document	Uploaded 2007-04-16	Repair queued
AAS-FRA Admin letter 04-07r.doc	Supplementary Document	Uploaded 2007-04-16	Available
49USC20901.doc	Supplementary Document	Uploaded 2007-04-16	Available
49 CFR 225.doc	Supplementary Document	Uploaded 2007-04-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
179636	Causal Analysis and Countermeasures to Reduce Rail-related Suicides	Form	New

ICR Details

OMB Control No: 2130-0572	ICR Reference No: 200704-2130-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Causal Analysis and Countermeasures to Reduce Rail-related Suicides
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/20/2007
	Date Received in OIRA: 05/30/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved
Responses	5,670	0	0
Time Burden (Hours)	537	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed collection of information seeks to develop a better understanding of railroad suicides, and use this information to make recommendations regarding the development of suicide prevention efforts, focused on those individuals most at risk, to reduce the incidence of suicide on railroad property.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 5493	02/06/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 19062	04/16/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Causal Analysis and Countermeasures to Reduce Rail-related Suicides	FRA F 6180.125A, FRA F 6180.125B	Protocol for Railway Personnel Involved in Suicide Incidents ,   Semi-structured Interview for Psychological Autopsy

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ICR Summary of Burden

table that charts list of burden

	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	5,670	0	0	5,670	0	0
Annual Time Burden (Hours)	537	0	0	537	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This ia a new collection of information relating to a one-time survey that the American Association of Suicidology (AAS) will be conducting on behalf of FRA/FTA. The purpose of the proposed study is to develop a better understanding of rail-related suicides in order to develop effective suicide prevention countermeasures to reduce the annual incidence of such events. An estimated 280 respondents will complete the survey's reporting requirements; a total of 5,670 annual respondents and a total annual burden of 537 hours are estimated. The proposed survey involves no recordkeeping requirements.

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Annual Cost to Federal Government: $350,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/30/2007

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