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Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms
Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms
OMB: 2130-0565
IC ID: 26506
OMB.report
DOT/FRA
OMB 2130-0565
ICR 201208-2130-005
IC 26506
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0565 can be found here:
2024-01-10 - Extension without change of a currently approved collection
2020-12-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FRA F 6180.4b
Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms
Form
FRA F 6180.4EZi - Headquarters Procedure for Completing F6180 4 EZ.doc
safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Instruction
FRA_F_6180.4EZi_--_Regions[1].doc
safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Instruction
FRA F 6180.4b Sample Car Checklist for Box and Other House Cars Built
Form FRA F 6180 4b 231 1 fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4c Sample Car Checklist for Hopper Cars and High-side Gondo
Form FRA F 6180 4c 231 2 fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4d Sample Car Checklist for Drop-end High-side Gondola Cars
Form FRA F 6180 4d 231 3 fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4e Sample Car Checklist for Fixed-end Low-side Gondola and
Form FRA F 6180 4e 231 4 fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4f Sample Car Checklist for Drop-end Low-side Gondola Cars
Form FRA F 6180 4f 231 5 fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4g Sample Car Checklist for Flat Cars
Form FRA F 6180 4g 231 6 fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4h Sample Car Checklist for Tank Cars with Side Platforms
Form FRA F 6180 4h ( 7) fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4i Sample Car Checklist for Tank Cars with Side Sills and T
Form FRA F 6180 4i ( 8) fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4k Sample Car Checklist for Tank Cars without Underframes
Form FRA F 6180 4k ( 21) fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4l Sample Car Checklist for Box and Other House Cars withou
Form FRA F 6180 4l ( 27) fill.pdf
safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4m Sample Car Checklist for Box and Other House Cars with R
Form FRA F 6180 4m 231 28 fill.pdf
safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4p Sample Car Checklist for Road Locomotives with Corner St
Form FRA F 6180 4p fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4q Sample Car Checklist for Locomotives Used in Switching S
Form FRA F 6180 4q fill.pdf
Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Form
FRA F 6180.4EZ Safety Sample Car Inspection Report
Form FRA F 6180.4EZ.pdf
safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Form
FRA F 6180.4a MPE Safety Concern Recommendation Report
Form FRA F 6180.4a Fillable.pdf
safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms
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 6180.4b
Sample Car Checklist for Box and Other House Cars Built After October 1, 1966
Form FRA F 6180 4b 231 1 fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4c
Sample Car Checklist for Hopper Cars and High-side Gondolas with Fixed Ends
Form FRA F 6180 4c 231 2 fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4d
Sample Car Checklist for Drop-end High-side Gondola Cars
Form FRA F 6180 4d 231 3 fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4e
Sample Car Checklist for Fixed-end Low-side Gondola and Low-side Hopper Cars
Form FRA F 6180 4e 231 4 fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4f
Sample Car Checklist for Drop-end Low-side Gondola Cars
Form FRA F 6180 4f 231 5 fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4g
Sample Car Checklist for Flat Cars
Form FRA F 6180 4g 231 6 fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4h
Sample Car Checklist for Tank Cars with Side Platforms
Form FRA F 6180 4h ( 7) fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4i
Sample Car Checklist for Tank Cars with Side Sills and Tank Cars with Short Side Sills and End Platforms
Form FRA F 6180 4i ( 8) fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4k
Sample Car Checklist for Tank Cars without Underframes
Form FRA F 6180 4k ( 21) fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4l
Sample Car Checklist for Box and Other House Cars without Roof Hatches
Form FRA F 6180 4l ( 27) fill.pdf
http://safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4m
Sample Car Checklist for Box and Other House Cars with Roof Hatches
Form FRA F 6180 4m 231 28 fill.pdf
http://safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4p
Sample Car Checklist for Road Locomotives with Corner Stairways
Form FRA F 6180 4p fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4q
Sample Car Checklist for Locomotives Used in Switching Service
Form FRA F 6180 4q fill.pdf
http://Safetydata.fra.dot.gov/OfficeofSafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Form
FRA F 6180.4EZ
Safety Sample Car Inspection Report
Form FRA F 6180.4EZ.pdf
http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Instruction
FRA F 6180.4EZi - Headquarters Procedure for Completing F6180 4 EZ.doc
http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Yes
Yes
Printable Only
Instruction
FRA_F_6180.4EZi_--_Regions[1].doc
http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Yes
Yes
Printable Only
Form
FRA F 6180.4a
MPE Safety Concern Recommendation Report
Form FRA F 6180.4a Fillable.pdf
http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
130
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
14 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
232
0
70
0
0
162
Annual IC Time Burden (Hours)
244
0
82
0
0
162
Annual IC Cost Burden (Dollars)
0
0
0
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.