Information Collection

Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms

IC 26506 under ICR 201512-2130-005 · OMB 2130-0565.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0565 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.a Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms	Form and Instruction
FRA F 6180.a Sample Car Inspection Checklist for S-2044 Appendix A-1: FRA Form 6180.161a.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161b Sample Car Inspection Checklist for S-2044 Appendix B-1: FRA Form 6180.161b.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161c Sample Car Inspection Checklist for S-2044 Appendix C-1: FRA Form 6180.161c.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161d Sample Car Inspection Checklist for S-2044 Appendix D-2: FRA Form 6180.161d.pdf http:safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161e Sample Car Inspection Checklist for S-2044 Appendix D-3: FRA Form 6180.161e.pdf htt;://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161f Sample Car Inspection Checklist for S-2044 Appendix D-4: FRA Form 6180.161f.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161g Sample Car Inspection Checklist for S-2044 Appendix E-1: FRA Form 6180.161g.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161h Sample Car Inspection Checklist for S-2044 Appendix E-2: FRA Form 6180.161h.pdf htttp://sfetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161i Sample Car Inspection Checklist for S-2044 Appendix F-1: FRA Form 6180.161i.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.j Sample Car Inspection Checklist for S-2044 Appendix F-2: FRA Form 6180.161j.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction
FRA F 6180.161k Sample Car Inspection Checklist for S-2044 Appendix G-1: FRA Form 6180.161k.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms

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 and Instruction	FRA F 6180.a	Sample Car Inspection Checklist for S-2044 Appendix A-1: Safety Appliances for Box Cars and Other Cars without Roof Hatches	FRA Form 6180.161a.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161b	Sample Car Inspection Checklist for S-2044 Appendix B-1: Safety Appliances for Covered Hopper Cars and Other House Cars with Roof Harches	FRA Form 6180.161b.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161c	Sample Car Inspection Checklist for S-2044 Appendix C-1: Safety Appliances for Bulkhead Flat Cars with High Bulkheads	FRA Form 6180.161c.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161d	Sample Car Inspection Checklist for S-2044 Appendix D-2: Safety Appliances for Cars of Well or Spine Construction with Side Mounted Hand Brakes	FRA Form 6180.161d.pdf	http:safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161e	Sample Car Inspection Checklist for S-2044 Appendix D-3: Safety Appliances for Cars of Well or Spine Construction with End-Mounted Hand Brakes	FRA Form 6180.161e.pdf	htt;://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161f	Sample Car Inspection Checklist for S-2044 Appendix D-4: Safety Appliances for Flat Cars Constructed for Chain Tie-Down Service	FRA Form 6180.161f.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161g	Sample Car Inspection Checklist for S-2044 Appendix E-1: Safety Appliances for Tank Cars with Side Ladders	FRA Form 6180.161g.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161h	Sample Car Inspection Checklist for S-2044 Appendix E-2: Safety Appliances for Tank Cars with End Ladders	FRA Form 6180.161h.pdf	htttp://sfetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161i	Sample Car Inspection Checklist for S-2044 Appendix F-1: Safety Appliances for Open Top Hopper Cars and High Side Gondola Cars	FRA Form 6180.161i.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.j	Sample Car Inspection Checklist for S-2044 Appendix F-2: Safety Appliances for Low-Side and Drop-End Gondola Cars and Bulkhead Flat Cars with Low Bulkheads	FRA Form 6180.161j.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable
Form and Instruction	FRA F 6180.161k	Sample Car Inspection Checklist for S-2044 Appendix G-1: Safety Appliances for Coil Cars	FRA Form 6180.161k.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	121	-111	232
Annual IC Time Burden (Hours)	121	-123	244
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.