Information Collection

Alleged Violation Reporting Form

IC 193693 under ICR 201310-2130-003 · OMB 2130-0590.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0590 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.151 Alleged Violation Reporting Form	Form
FRA F 6180.151 Alleged Violation Reporting Form FRA F 6180 151U Alleged Violation Reporting Form.pdf safetydata.fra.dot.gov/officeofsafety/default.aspx	Form

IC Title:

Alleged Violation Reporting Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.151	Alleged Violation Reporting Form	FRA F 6180 151U Alleged Violation Reporting Form.pdf	http://safetydata.fra.dot.gov/officeofsafety/default.aspx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	-100	400
Annual IC Time Burden (Hours)	50	-17	67
Annual IC Cost Burden (Dollars)	0	0	0

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.