Form FRA F 6180.113 FRA F 6180.113 Reflectorization Implementation Compliance Report

OMB No. 2130-0566

REFLECTORIZATION IMPLEMENTATION COMPLIANCE REPORT
Public reporting burden for this information collection is estimated to average 20 hours per response. This estimate
included time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, no
persons are required to respond to a collection of information unless it displays a valid OMB control number. The
valid OMB control number for this collection of information is 2130-0566.

Instructions for completing form:
If submitting this form to FRA as an initial Reflectorization Implementation Compliance Report in
accordance with 49 CFR 224.107(a)(2)(ii) and/or (b)(2)(ii), complete Parts I, II, III and IV. If submitting this
form in accordance with 49 CFR 224.107(a)(3) and/or (b)(3), complete Parts I, II, III, IV, and V.
If this form is being submitted to FRA as an updated Reflectorization Implementation Compliance Report
required by 49 CFR 224.107(a)(2)(ii)(B) or (b)(2)(ii)(B), complete Parts I, II, III, and V. In Part V, report the
car/locomotive number(s) identifying each freight car and locomotive equipped with retroreflective
sheeting conforming to 49 CFR Part 224 during this reporting period.
Part I: Identification
Railroad or Car Owner:
Railroad or Car Owner Reporting Code:
Preparer Information:

Title:

Name:

Phone:

Address:

Fax:
Email:

Part II: Type of Submission
☐ Initial Submission
☐ Updated Compliance Report
Part III: Identification of freight rolling stock fleet subject to 49 CFR Part 224
A. How many freight cars in your fleet are subject to 49 CFR Part 224?
B. How many locomotives in your fleet are subject to 49 CFR Part 224?
Part IV: Certification (Complete only if Part II: Type of Submission is Initial Submission)
By filing this Reflectorization Implementation Compliance Report and any accompanying documents or
electronic files with FRA, the undersigned Freight Rolling Stock Owner is electing to follow the alternative
schedules for equipping its freight rolling stock with reflective material as set forth in 49 CFR
§§224.107(a)(2)(ii) and/or (b)(2)(ii). By completing, executing, and filing this Compliance Report with FRA,
the undersigned Freight Rolling Stock Owner is certifying that its entire fleet of freight rolling stock subject
to 49 CFR Part 224 (Part 224) will be equipped with retroreflective sheeting conforming to the
requirements of Part 224 in accordance with the schedules set forth in 49 CFR §224.107(a)(2)(ii) and/or
(b)(2)(ii). Failure to meet the minimum requirements of Part 224 may result in the assessment of civil
penalties or other enforcement action by FRA.
Signature of Corporate Officer/Car owner:

Date:

Name:
Title:
Form FRA F6180.113 11/03

Expires 09/30/2017

OMB No. 2130-0566

Part V: Identification of rail freight rolling stock conforming to 49 CFR Part 224
Reapplieda

Type (check one):
Freight
Locomotive
Car

Identification
Number

Reapplieda

Type (check one):
Freight
Locomotive
Car

Identification
Number

a. Check if freight car/locomotive was reported in Part V of a previous Reflectorization Implementation Compliance Report as
conforming to 49 CFR Part 224, but 100% of the retroreflective sheeting on the car/locomotive was replaced with sheeting
conforming to Part 224 in this reporting period.

Form FRA F6180.113 11/03

Expires 09/30/2017