Information Collection

Confidential Close Call Reporting System Evaluation-Related Interview Data Collection

IC 181941 under ICR 201403-2130-013 · OMB 2130-0574.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.126A Key Stakeholder Interviews for the Evaluation of C3RS Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	Form
Form FRA F 6180.126B RAILROAD EMPLOYEES VIEWS OF C3RS Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	Form
FRA F 6180.126A Key Stakeholder Interviews for the Evaluation of C3RS 6180.126A.doc	Form
FRA F 6180.126B RAILROAD EMPLOYEES VIEWS OF C3RS 6180.126B.doc	Form

IC Title:

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 6180.126A				Yes	No	Fillable Fileable
Form	FRA F 6180.126B				Yes	No	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 220

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	121	121
Annual IC Cost Burden (Dollars)	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.

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