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	Modified	Available
drSuppDocSuicStdy0572.doc	Supplementary Document	Uploaded 2010-09-21	Available
Sept. 21, 2010 (30-Day).pdf	Supplementary Document	Uploaded 2010-09-21	Available
July 13, 2010, FR Notice (60-Day).pdf	Supplementary Document	Uploaded 2010-09-21	Available
SuicideStdy0572B.doc	Supporting Statement B	Uploaded 2010-09-21	Available
SuicideStdy0572A.doc	Supporting Statement A	Uploaded 2010-09-21	Available
AASCoverLttr.doc	Supplementary Document	Uploaded 2007-04-16	Repair queued
AAS-FTA letter 04-16-07.doc	Supplementary Document	Uploaded 2007-04-16	Available
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	Modified

ICR Details

OMB Control No: 2130-0572	ICR Reference No: 201009-2130-002
Status: Historical Inactive	Previous ICR Reference No: 200704-2130-001
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Causal Analysis and Countermeasures to Reduce Rail-related Suicides
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 01/20/2011
	Date Received in OIRA: 09/22/2010
Terms of Clearance: FRA has completed this study, and will be ceasing collection of the information associated with this collection when the current approval expires (01/31/2011).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved	02/01/2011
Responses	5,670	0	5,670
Time Burden (Hours)	537	0	537
Cost Burden (Dollars)	0	0	0

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Abstract: The 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:
	75 FR 40021	07/13/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 57546	09/21/2010
Did the Agency receive public comments on this ICR? No

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The burden for this collection of information has increased by 106 hours from the previously approved submission. The change in burden is due to adjustments in the number of respondents interviewed and the number of responses per respondent. In the previous submission, FRA estimated 35 suicide cases per year and a total of 5,600 responses for form FRA F 6180.125A (35 cases x 8 interviews per case x 20 responses per respondent x 5 min. = 467 hours). For form FRA F 6180.125B, FRA estimated a total of 35 suicide cases per year and a total of 70 responses (70 responses x 2 hrs. = 140 hours). The total burden requested was 537 hours. [Note: The burden for both forms in the earlier submission was miscalculated. The burden for Form FRA F 6180.125A should have been three (3) hours (35 cases x 1 form/response x 5 minutes). The burden for Form FRA F 6180.15B should have been 560 hours (35 cases x 8 interviews x 2 hours). The total burden correctly calculated should have been 563 hours. The number of responses per respondent in this submission should have been listed as one and not 20.] In this submission, FRA estimates 40 suicide cases and a total of 40 responses for form FRA F 6180.125A (40 cases x 1 interview per case x 1 response/form per respondent x 5 min. = 3 hours). For form FRA F 6180.125B, FRA estimates a total of 40 suicide cases and a total of 320 responses (40 cases x 8 interviews/forms x 2 hrs. = 640 hours). The total burden requested is 643 hours. The current OMB inventory shows a total of 537 hours for this collection of information, while the present submission exhibits a total of 643 hours. Hence, there is a increase in burden of 106 hours. There is no change in cost to respondents.

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Annual Cost to Federal Government: $700,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 09/22/2010

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