Roadway Worker Protection: Roadway Maintenance Machines

Railroad Workplace Safety

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form FRA F 6180.119 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
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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.119	Part 214 Railroad Workplace Safety Violation Report Form	FRA F 6180.119.pdf	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 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	105,751	10	-741	106,482
Annual IC Time Burden (Hours)	5,619	1	-741	6,359
Annual IC Cost Burden (Dollars)	200,355	100	0	200,255

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.