Information Collection

Causal Analysis and Countermeasures to Reduce Rail-related Suicides

IC 179636 under ICR 201009-2130-002 · OMB 2130-0572.

Documents and Forms

Document Name Document Type
Form FRA F 6180.125A Causal Analysis and Countermeasures to Reduce Rail-related Suicides Form
FRA F 6180.125A Protocol for Railway Personnel Involved in Suicide Incid FRA F 6180.125A.doc safety.data.fra.dot.gov/officeofsafety Form
FRA F 6180.125B Semi-structured Interview for Psychological Autopsy FRA F 6180.125B.doc safetydata.fra.dot.gov/officeofsafety Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Causal Analysis and Countermeasures to Reduce Rail-related Suicides	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.125A	Protocol for Railway Personnel Involved in Suicide Incidents	FRA F 6180.125A.doc	http://safety.data.fra.dot.gov/officeofsafety	Yes	No	Paper Only
Form	FRA F 6180.125B	Semi-structured Interview for Psychological Autopsy	FRA F 6180.125B.doc	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 360	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	360	-5,310	5,670
Annual IC Time Burden (Hours)	643	106	537
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.