Information Collection Request

Accident/Incident Reporting and Recordkeeping

ICR 200712-2130-001 · OMB 2130-0500 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FRA F 6180.99 FRA Batch Control For Magnetic Media Form Modified Available
Form F RA F 6180.107 Alternative Record For Illness Claimed To Be Work-Related Form Modified Available
Form FRA F 6180.98 Railroad Employee Injury and/or Illness Record Form Modified Available
Form FRA F 6180.97 Employee Human Factor Attachment Form Modified Available
Form FRA F 6180.78 Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor (Employee Statement Supplementing Railroad Accident Report) Form and Instruction Modified Available
Form FRA F 6180.57 Highway-Rail Grade Crossing Accident/Incident Report Form and Instruction Modified Available
Form FRA F 6180.55a Railroad Injury and Illness Summary (Continuation Sheet) Form Modified Available
Form FRA F 6180.55 Railroad Injury and Illness Summary Form Modified Repair queued
Form FRA F 6180.54 Rail Equipment Accident/Incident Report Form Modified Available
Form FRA F 6180.39i Railroad Accident/Incident Notification and Initial Investigation Report Form Modified Available
Form FRA F 6180.56 Annual Report of Employee Hours and Casualties, By State Form Modified Available
49 CFR 225.doc Supplementary Document Uploaded 2007-12-18 Available
49CFR1.49.doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 20103.doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 322(a).doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 103 (c).doc Supplementary Document Uploaded 2007-12-18 Available
49 USC 21301-21304.doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 20901-20903.doc Supplementary Document Uploaded 2007-12-18 Available
AccInc2130-0500.doc Supporting Statement A Uploaded 2007-12-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedFRA Batch Control For Magnetic Media
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedAlternative Record For Illness Claimed To Be Work-Related
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Employee Injury and/or Illness Record
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedEmployee Human Factor Attachment
26389 Accident/Incident Reporting and Recordkeeping Form and Instruction ModifiedNotice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor (Employee Statement Supplementing Railroad Accident Report)
26389 Accident/Incident Reporting and Recordkeeping Form and Instruction ModifiedHighway-Rail Grade Crossing Accident/Incident Report
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Injury and Illness Summary (Continuation Sheet)
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Injury and Illness Summary
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRail Equipment Accident/Incident Report
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Accident/Incident Notification and Initial Investigation Report
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedAnnual Report of Employee Hours and Casualties, By State

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2011 36 Months From Approved 02/29/2008
78,002 0 77,002
47,521 0 46,021
178,286 0 176,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Accident/Incident Reporting and Recordkeeping F RA F 6180.107, FRA F 6180.55, FRA F 6180.57, FRA F 6180.78, FRA F 6180.99, FRA F 6180.54, FRA F 6180.39i, FRA F 6180.55a, FRA F 6180.98, FRA F 6180.97, FRA F 6180.56 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

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 78,002 77,002 0 1,000 0 0
Annual Time Burden (Hours) 47,521 46,021 0 1,500 0 0
Annual Cost Burden (Dollars) 178,286 176,000 0 2,286 0 0


Reginfo record details
  No