Information Collection

Roadway Worker Protection: Roadway Maintenance Machines

IC 26462 under ICR 201907-2130-004 · OMB 2130-0539.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0539 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.119 Part 214 Railroad Workplace Safety Violation Report Form Roadway Worker Protection: Roadway Maintenance Machines	Form
FRA F 6180.119 Part 214 Railroad Workplace Safety Violation Report Form FRA F 6180.119.pdf safetydata.fra.dot.gov/OfficeofSafety/publicsite/FormsPub.aspx	Form

IC Title:

Roadway Worker Protection: Roadway Maintenance Machines

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 214

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	FRA F 6180.119			http://safetydata.fra.dot.gov/OfficeofSafety/publicsite/FormsPub.aspx	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 741

Number of Respondents for Small Entity: 708

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	106,482	-24,971,709	25,078,191
Annual IC Time Burden (Hours)	6,359	-858,164	864,523
Annual IC Cost Burden (Dollars)	200,255	-795	201,050

Documents for IC

table that charts IC Documents
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.

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