Information Collection Request

Accident/Incident Reporting and Recordkeeping

ICR 201702-2130-002 · OMB 2130-0500 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FRA F 6180.55 Accident/Incident Reporting and Recordkeeping Form Modified Available
Mar. 6, 2017, FR Notice (30-Day).pdf Supplementary Document Uploaded 2017-03-06 Available
AccInc 0500 Emergency Clearance Memo.pdf Supplementary Document Uploaded 2017-02-28 Available
Oct. 26, 2016, FR Notice (60-Day).pdf Supplementary Document Uploaded 2017-02-28 Available
AccInc 2130-0500R.doc Supporting Statement A Uploaded 2017-02-28 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 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2017 6 Months From Approved 03/31/2017
103,976 0 103,976
39,058 0 39,058
0 0 0





Reginfo record details
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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 Railroad Injury and Illness Summary ,   Railroad Injury and Illness Summary ,   Annual Railroad Report of Employee Hours and Casualties, By State ,   Highway-Rail Grade Crossing Accident/Incident Report ,   Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor ,   Employee Human Factor Attachment ,   Initial Rail Equipment Accident/Incident Record ,   Alternative Record for Illnesses Claimed to Be Work-Related ,   Highway User Injury Inquiry Form ,   Rail Equipment Accident/Incident Report

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 39,058 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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