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State Safety Participation Regulations and Remedial Actions
State Safety Participation Regulations and Remedial Actions
OMB: 2130-0509
IC ID: 26407
OMB.report
DOT/FRA
OMB 2130-0509
ICR 201512-2130-002
IC 26407
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0509 can be found here:
2022-05-12 - Extension without change of a currently approved collection
2019-02-13 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FRA F 6180.33
State Safety Participation Regulations and Remedial Actions
Form
FRA F 6180.33 Violation of Hours of Service Law
FRA F 6180.33.pdf
safetydata.fra.dot.gov
Form
FRA F 6180.61 Accident/Incident Reporting Rules Violation Report Form
FRA F 6180.61.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.67 Operating Practices Violation Report Form
FRA F 6180.67.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.96 Inspection Report
FRA F 6180.96.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.96a Inspection Report (Continuation Sheet)
FRA F 6180.96a.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.109 Motive Power & Equipment Violation Report Form
FRA F 6180.109.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.110 Hazardous Materials Violation Report Form
FRA F 6180.110.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.111 Track Violation Report Form
FRA F 6180.111.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.112 Signal & Train Control Violation Report Form
FRA F 6180.112.pdf
safetydata.fra.dot.gov/officeofsafety
Form
FRA F 6180.144 State Rail Safety Accident Investigation Participation A
Form FRA F 6180.144.doc
safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Safety Participation Regulations and Remedial Actions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
49 CFR 212
49 CFR 209
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FRA F 6180.33
Violation of Hours of Service Law
FRA F 6180.33.pdf
http://safetydata.fra.dot.gov
Yes
No
Printable Only
Form
FRA F 6180.61
Accident/Incident Reporting Rules Violation Report Form
FRA F 6180.61.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
No
Printable Only
Form
FRA F 6180.67
Operating Practices Violation Report Form
FRA F 6180.67.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
No
Printable Only
Form
FRA F 6180.96
Inspection Report
FRA F 6180.96.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
Yes
Fillable Printable
Form
FRA F 6180.96a
Inspection Report (Continuation Sheet)
FRA F 6180.96a.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
Yes
Fillable Printable
Form
FRA F 6180.109
Motive Power & Equipment Violation Report Form
FRA F 6180.109.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
No
Printable Only
Form
FRA F 6180.110
Hazardous Materials Violation Report Form
FRA F 6180.110.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
No
Printable Only
Form
FRA F 6180.111
Track Violation Report Form
FRA F 6180.111.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
No
Printable Only
Form
FRA F 6180.112
Signal & Train Control Violation Report Form
FRA F 6180.112.pdf
http://safetydata.fra.dot.gov/officeofsafety
Yes
No
Printable Only
Form
FRA F 6180.144
State Rail Safety Accident Investigation Participation Agreement
Form FRA F 6180.144.doc
http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
31
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
97 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
22,352
0
0
-93
0
22,445
Annual IC Time Burden (Hours)
9,240
0
0
182
0
9,058
Annual IC Cost Burden (Dollars)
31,000
0
0
1,000
0
30,000
Documents for IC
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.