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

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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:

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: 95 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	121	121
Annual IC Time Burden (Hours)	121	121
Annual IC Cost Burden (Dollars)	0	0

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.

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

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

OMB: 2130-0565

IC ID: 26506

View Information Collection (IC)