Confidential Close Call Reporting System Evaluation-Related Interview Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FRA F 6180.126A Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	Form	Modified	Available
2130-0574_Justification.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2014-03-31	Source copy available
2013-28165.pdf	Supplementary Document	Uploaded 2013-11-26	Available
2013-22394.pdf	Supplementary Document	Uploaded 2013-11-25	Repair queued
ConfCloseCall0574B_kbt.doc	Supporting Statement B	Uploaded 2013-11-25	Available
SSA_ConfCloseCall0574.doc	Supporting Statement A	Uploaded 2014-03-18	Available
49 U.S.C. 20103.doc	Supplementary Document	Uploaded 2007-09-11	Available
49USC20901.doc	Supplementary Document	Uploaded 2007-09-11	Repair queued
49 CFR 1.49a.doc	Supplementary Document	Uploaded 2007-09-11	Available
49 CFR 225.doc	Supplementary Document	Uploaded 2007-09-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181941	Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	Form	Modified

ICR Details

OMB Control No: 2130-0574	ICR Reference No: 201403-2130-013
Status: Historical Active	Previous ICR Reference No: 201311-2130-001
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Confidential Close Call Reporting System Evaluation-Related Interview Data Collection
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/02/2014
	Date Received in OIRA: 05/15/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	03/31/2017	03/31/2017
Responses	220	0	220
Time Burden (Hours)	121	0	121
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information is being conducted on behalf of FRA, and is designed to identify safety issues and propose corrective action based on voluntary reports to DOT's Bureau of Transportation Statistics.

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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:
	78 FR 179	09/16/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 227	11/25/2013
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	FRA F 6180.126A, FRA F 6180.126B	Key Stakeholder Interviews for the Evaluation of C3RS ,   RAILROAD EMPLOYEES VIEWS OF C3RS

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ICR Summary of Burden

table that charts list 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	220	220	0	0	0	0
Annual Time Burden (Hours)	121	121	0	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $198,787

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 05/15/2014

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