Accident/Incident Reporting and Recordkeeping

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FRA F 6180.97 Accident/Incident Reporting and Recordkeeping	Form	Modified	Available
FRA Response to OIG Recommendations.doc	Supplementary Document	Uploaded 2017-06-02	Available
AccInc 2130-0500EC.doc	Supporting Statement A	Uploaded 2017-03-16	Available
Mar. 6, 2017, FR Notice (30-Day).pdf	Supplementary Document	Uploaded 2017-03-06	Available
Oct. 26, 2016, FR Notice (60-Day).pdf	Supplementary Document	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	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
26389	Accident/Incident Reporting and Recordkeeping	Form	Modified

ICR Details

OMB Control No: 2130-0500	ICR Reference No: 201703-2130-003
Status: Historical Active	Previous ICR Reference No: 201702-2130-002
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Accident/Incident Reporting and Recordkeeping
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/02/2017
	Date Received in OIRA: 03/16/2017
Terms of Clearance: FRA is encouraged to implement the DOT OIG recommendations on safety data reporting as soon as practicable but no later than the dates outlined in FRA's Management Response which is attached to this ICR.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	36 Months From Approved	06/30/2017
Responses	109,440	0	103,976
Time Burden (Hours)	46,577	0	39,058
Cost Burden (Dollars)	0	0	0

---

Abstract: FRA uses the information obtained through its accident/incident regulations to maintain a current and historical databased so that it can monitor the safety and operational practices of the nation's railroads; to identify and promptly ameliorate hazardous conditions associated with rail transportation; and to assure compliance with Federal railroad safety laws.

---

Authorizing Statute(s): US Code: 49 USC 20901 Name of Law: (Formerly Part of Accident Reports Act)
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 74496	10/26/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12687	03/06/2017
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Accident/Incident Reporting and Recordkeeping	FRA F 6180.98, FRA F 6180.54, FRA F 6180.55, FRA F 6180.55a, FRA F 6180.57, FRA F 6180.56, FRA F 6180.78, FRA F 6180.81, FRA F 6180.107, FRA F 6180.150, FRA F 6180.97	Initial Rail Equipment Accident/Incident Record ,   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 ,   Alternative Record for Illnesses Claimed to Be Work-Related ,   Highway User Injury Inquiry Form ,   Rail Equipment Accident/Incident Report ,   Railroad Employee Injury and/or Illness Record

---

ICR Summary of Burden

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	109,440	103,976	0	0	5,464	0
Annual Time Burden (Hours)	46,577	39,058	0	0	7,519	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden for this information collection has increased by 7,519 hours and 5,464 responses from the last approved submission. The increase in burden is due solely to adjustments. The table provided in the answer to question number 15 of the attached Supported Justification lists all the revised estimates: Adjustments shown in the table increased the burden by 7,519 hours and increased the number of responses by 5,464. The current OMB agency inventory for this information collection shows a total burden of 39,058 hours and 103,976 responses, while the present submission reflects a total burden of 46,577 hours and 109,440 responses. Hence, there is a total increase in burden of 7,519 hours and 5,464 responses. There is no change in costs to respondents from the previous submission.

---

Annual Cost to Federal Government: $1,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/16/2017

---