Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms

Forms and Documents

Document	Type	Status	Availability
Form FRA F 6180.4a Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms	Form	Modified	Repair queued
Form FRA F 6180 4d 231 3 fill.pdf	Supplementary Document	Uploaded 2011-05-25	Available
Form FRA F 6180 4c 231 2 fill.pdf	Supplementary Document	Uploaded 2011-05-25	Available
Form FRA F 6180 4b 231 1 fill.pdf	Supplementary Document	Uploaded 2011-05-25	Available
Form FRA F 6180 4a fill.pdf	Supplementary Document	Uploaded 2011-05-25	Available
SafApp2130-0565U.doc	Supporting Statement A	Uploaded 2011-05-27	Repair queued
49 CFR 231.doc	Supplementary Document	Uploaded 2008-01-29	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
26506	Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms	Form	Modified

ICR Details

OMB Control No: 2130-0565	ICR Reference No: 201012-2130-005
Status: Historical Active	Previous ICR Reference No: 200801-2130-003
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/09/2011
	Date Received in OIRA: 03/11/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	06/30/2011
Responses	162	0	186
Time Burden (Hours)	162	0	182
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information is used by FRA and State MP&E safety inspectors to conduct more thorough, more effective, and more efficient sample car inspections of different types of rail freight cars that are constructed at manufacturing facilities in this country.

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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 63889	10/18/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 81710	12/28/2010
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms	FRA F 6180.4e, FRA F 6180.4b, FRA F 6180.4k, FRA F 6180.4a, FRA F 6180.4g, FRA F 6180.4f, FRA F 6180.4h, FRA F 6180.4i, FRA F 6180.4j, FRA F 6180.4d, FRA F 6180.4l, FRA F 6180.4m, FRA F 6180.4c, FRA F 6180.4p, FRA F 6180.4q	MP&E safety Concern and Recommendation Report ,   Sample Car Checklist for Tank Cars with Side Platforms ,   Sample Car Checklist for Tank Cars with Side Sills and Tank Cars with Short Side Sills and End Platforms ,   Sample Car Checklist for Tank Cars without End Sills ,   Sample Car Checklist for Drop-end Low-side Gondola Cars ,   Sample Car Checklist for Flat Cars ,   Sample Car Checklist for Box and Other House Cars Built After October 1, 1966 ,   Sample Car Checklist for Tank Cars without Underframes ,   Sample Car Checklist for Fixed-end Low-side Gondola and Low-side Hopper Cars ,   Sample Car Checklist for Drop-end High-side Gondola Cars ,   Sample Car Checklist for Road Locomotives with Corner Stairways ,   Sample Car Checklist for Hopper Cars and High-side Gondolas with Fixed Ends ,   Sample Car Checklist for Box and Other House Cars without Roof Hatches ,   Sample Car Checklist for Box and Other House Cars with Roof Hatches ,   Sample Car Checklist for Locomotives Used in Switching Service

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ICR Summary 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	162	186	0	-10	-14	0
Annual Time Burden (Hours)	162	182	0	-6	-14	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The total burden for this renewal information collection has decreased by 20 hours. The decrease is due to adjustments and two program changes. There is one revised estimate that reflects a burden increase and several revised estimates that reflect burden decreases. In particular, FRA revised its estimates for the following forms: (1.) FRA revised its annual estimate for Form FRA F 6180.4(b) (from 10 forms to 30 forms. This change in estimate increased the burden by 20 hours (from 10 hours to 30 hours). Total burden increases from adjustments then amount to 20 hours. As mentioned, there are also revised estimates that reflect burden decreases: (1.) FRA revised its annual estimate for Form FRA F 6180.4(a) from 30 forms to 20 forms. This change in estimate decreased the burden by 10 hours (from 30 hours to 20 hours). (2.) FRA revised its annual estimate for Form FRA F 6180.4(c) from 30 forms to 20 forms. This change in estimate decreased the burden by 10 hours (from 30 hours to 20 hours). (3.) FRA revised its annual estimate for Form FRA F 6180.4(f) from five (5) forms to three (3) forms. This change in estimate decreased the burden by two (2) hours (from five (5) hours to three (3) hours). (4.) FRA revised its annual estimate for Form FRA F 6180.4(i) from five (5) forms to three (3) forms. This change in estimate decreased the burden by two (2) hours (from five (5) hours to three (3) hours). (5.) FRA revised its annual estimate for Form FRA F 6180.4(j) from five (5) forms to three (3) forms. This change in estimate decreased the burden by two (2) hours (from five (5) hours to three (3) hours). (6.) FRA revised its annual estimate for Form FRA F 6180.4(l) from 10 forms to five (5) forms. This change in estimate decreased the burden by five (5) hours (from 10 hours to five (5) hours). (7.) FRA revised its annual estimate for Form FRA F 6180.4(m) from 10 forms to seven (7) forms. This change in estimate decreased the burden by three (3) hours (from 10 hours to seven (7) hours). Overall, burden decreases from adjustments then amount to 34 hours. Also, there were two program changes which decreased the burden by a total of six (6) hours. Specifically, Form FRA F 6180.4n and Form FRA F 6180.4o are no longer being used because they were made obsolete by the development of APTA Rulemaking/checklist forms (granted special approval by FRA) which are only used by FRA inspectors during the routine performance of their inspection duties. The obsolescence of the two forms decreased the burden by three hours each. Program changes then decreased the burden by six (6) hours. The current burden for this information collection shows 182 hours, while the total burden for this renewal submission amounts to 162 hours. Hence, there is a decrease of 20 hours. There is no change in burden cost to respondents from the last submission.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 03/11/2011

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