Information Collection

State Safety Participation Regulations and Remedial Actions

IC 26407 under ICR 201212-2130-003 · OMB 2130-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0509 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.33 Violation of Hours of Service Law State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.61 Accident/Incident Reporting Rules Violation Report Form State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.67 Operating Practices Violation Report Form State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.96 Inspection Report State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.96a Inspection Report (Continuation Sheet) State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.109 Motive Power & Equipment Violation Report Form State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.110 Hazardous Materials Violation Report Form State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.111 Track Violation Report Form State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.112 Signal & Train Control Violation Report Form State Safety Participation Regulations and Remedial Actions	Form
Form FRA F 6180.144 State Rail Safety Accident Investigation Participation Agreement State Safety Participation Regulations and Remedial Actions	Form
FRA F 6180.33 Violation of Hours of Service Law FRA F 6180.33.pdf safetydata.fra.dot.gov	Form
FRA F 6180.61 Accident/Incident Reporting Rules Violation Report Form FRA F 6180.61.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.67 Operating Practices Violation Report Form FRA F 6180.67.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.96 Inspection Report FRA F 6180.96.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.96a Inspection Report (Continuation Sheet) FRA F 6180.96a.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.109 Motive Power & Equipment Violation Report Form FRA F 6180.109.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.110 Hazardous Materials Violation Report Form FRA F 6180.110.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.111 Track Violation Report Form FRA F 6180.111.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.112 Signal & Train Control Violation Report Form FRA F 6180.112.pdf safetydata.fra.dot.gov/officeofsafety	Form
FRA F 6180.144 State Rail Safety Accident Investigation Participation A Form FRA F 6180.144.doc safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Safety Participation Regulations and Remedial Actions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 209 49 CFR 212

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.33	http://safetydata.fra.dot.gov	Yes	No	Printable Only
Form	FRA F 6180.61	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Printable Only
Form	FRA F 6180.67	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Printable Only
Form	FRA F 6180.96	http://safetydata.fra.dot.gov/officeofsafety	Yes	Yes	Fillable Printable
Form	FRA F 6180.96a	http://safetydata.fra.dot.gov/officeofsafety	Yes	Yes	Fillable Printable
Form	FRA F 6180.109	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Printable Only
Form	FRA F 6180.110	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Printable Only
Form	FRA F 6180.111	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Printable Only
Form	FRA F 6180.112	http://safetydata.fra.dot.gov/officeofsafety	Yes	No	Printable Only
Form	FRA F 6180.144	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22,445	475	21,970
Annual IC Time Burden (Hours)	9,058	-1,690	10,748
Annual IC Cost Burden (Dollars)	30,000	0	30,000

Documents for IC

table that charts IC Documents
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.

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