Information Collection Request

Accident/Incident Reporting and Recordkeeping

ICR 201508-2130-002 · OMB 2130-0500 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Draft FRA F 6180,5 Rail Equipment Accident/Incident Report Form Modified Available
Form FRA F 6180.54 Rail Equipment Accident/Incident Report Form Modified Available
Form FRA F 6180.150 Highway User Injury Inquiry Form Form Modified Available
Form FRA F 6180.107 Alternative Record for Illnesses Claimed to Be Work-Related Form Modified Available
Form FRA F 6180.98 Railroad Employee Injury and/or Illness Record Form Modified Available
Form FRA F 6180.98 Initial Rail Equipment Accident/Incident Record Form Modified Available
Form FRA F 6180.81 Employee Human Factor Attachment Form Modified Available
Form FRA F 6180.78 Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor Form Modified Available
Form FRA F 6180.57 Highway-Rail Grade Crossing Accident/Incident Report Form Modified Available
Form FRA F 6180.56 Annual Railroad Report of Employee Hours and Casualties, By State Form Modified Available
Form FRA F 6180.55a Railroad Injury and Illness Summary Form Modified Available
Form FRA F 6180.55 Railroad Injury and Illness Summary Form Modified Available
Form FRA F 6180.55 Railroad Injury and Illness Summary Form Modified Available
Form FRA F 6180.39i Railroad Accident/Incident Notification and Initial Investigation Report Form Modified Available
AccInc 2130-0500R3.doc Supporting Statement A Uploaded 2016-02-11 Available
Aug. 12, 2015, FR Notice (30-Day).pdf Supplementary Document Uploaded 2015-08-12 Available
April 24, 2015, FR Notice (60-Day).pdf Supplementary Document Uploaded 2015-08-12 Available
49 CFR 225.doc Supplementary Document Uploaded 2007-12-18 Available
49CFR1.49.doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 20103.doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 322(a).doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 103 (c).doc Supplementary Document Uploaded 2007-12-18 Available
49 USC 21301-21304.doc Supplementary Document Uploaded 2007-12-18 Available
49 U.S.C. 20901-20903.doc Supplementary Document Uploaded 2007-12-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
26389 Accident/Incident Reporting and Recordkeeping Instruction Modified
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRail Equipment Accident/Incident Report
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRail Equipment Accident/Incident Report
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedHighway User Injury Inquiry Form
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedAlternative Record for Illnesses Claimed to Be Work-Related
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Employee Injury and/or Illness Record
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedInitial Rail Equipment Accident/Incident Record
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedEmployee Human Factor Attachment
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedNotice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedHighway-Rail Grade Crossing Accident/Incident Report
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedAnnual Railroad Report of Employee Hours and Casualties, By State
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Injury and Illness Summary
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Injury and Illness Summary
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Injury and Illness Summary
26389 Accident/Incident Reporting and Recordkeeping Form ModifiedRailroad Accident/Incident Notification and Initial Investigation Report

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 05/31/2017
103,976 0 103,976
39,058 0 39,028
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Accident/Incident Reporting and Recordkeeping FRA F 6180.54, FRA F 6180.55, FRA F 6180.39i, FRA F 6180.55, FRA F 6180.55a, FRA F 6180.98, FRA F 6180.57, FRA F 6180.56, FRA F 6180.98, FRA F 6180.78, FRA F 6180.81, FRA F 6180.107, FRA F 6180.150, Draft FRA F 6180,54 w/Rev. Public Protection Stmnt ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

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 103,976 103,976 0 0 0 0
Annual Time Burden (Hours) 39,058 39,028 0 30 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No