Form FRA F 6180.167 FRA F 6180.167 Bridge Inspection Report Public Version Request Form

Bridge Safety Standards

FRA 6180.167

Bridge Safety Standards

OMB: 2130-0586

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Federal Railroad Administration
Bridge Inspection Report Public Version Request Form
OMB Control No. 2130‐0586
Public reporting burden for this information collection is estimated to average 5 minutes per response, including the time for 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, a federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure 
to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for this information 
collection is 2130‐0586. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect 
of this collection, including suggestions for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave 
S.E., Washington D.C. 20590.

Requester's Name:
Requester's Title:
Requester's Address:

Requester's Email:
Telephone Number:
Bridge Identification:
(Street name, waterway, other 
identifiable land feature, etc.)

Railroad Owning Bridge: 
(if known)
Requester's State or political 
subdivision:
I hereby certify that I am a duly elected or appointed representative of the State 
or the political subdivision of a State indicated above, this request is being 
made in my official capacity, and the bridge is located within my jurisdiction. 
(check one)

  Yes
  No

Submit
Clicking the submit button will open your default email application allowing you to send the filled form to: [email protected]

FRA F 6180.167 (02‐2016)

OMB Control No. 2130‐0586 Approval Expires 09/31/2019


File Typeapplication/pdf
File TitleBridge Inspection Report Public Version Request Form R3.xlsx
AuthorDavid.Killingbeck
File Modified2017-01-25
File Created2016-02-02

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