Title Control of Alcohol and Drug Use in Railroad Operations

Control of Alcohol and Drug Use in Railroad Operations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0526 can be found here:

Documents and Forms

Document Name Document Type
Form FRA F 6180.73 Title Control of Alcohol and Drug Use in Railroad Operations Form
FRA F 6180.73 Accident Information Required for Post-Accident Toxicolo Form FRA F6180.73 Rev. 06-17.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form
FRA F 6180.73 Accident Information Required for Post-Accident Toxicolo Form FRA F6180.73 Rev. 06-17.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form
FRA F 6180.74 FRA Post-Accident Testing Blood/Urine Custody and Contro Form FRA F6180.74 Rev. 06-17.pdf htttp://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form
FRA F 6180.74 FRA Post-Accident Testing Blood/Urine Custody and Contro Form FRA F6180.74 Rev. 06-17.pdf htttp://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form
FRA F6180.75 FRA Collection of Post-Mortem Toxicology Samples Require Form FRA F6180.75 Rev. 06-17.pdf htttp://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form
FRA F6180.75 FRA Collection of Post-Mortem Toxicology Samples Require Form FRA F6180.75 Rev. 06-17.pdf htttp://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form

Information Collection (IC) Details

IC Title:	Title Control of Alcohol and Drug Use in Railroad Operations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 219

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.73	Accident Information Required for Post-Accident Toxicological Testing	Form FRA F6180.73 Rev. 06-17.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Paper Only
Form	FRA F 6180.74	FRA Post-Accident Testing Blood/Urine Custody and Control Form	Form FRA F6180.74 Rev. 06-17.pdf	htttp://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Paper Only
Form	FRA F6180.75	FRA Collection of Post-Mortem Toxicology Samples Required by 49 CFR Part 219	Form FRA F6180.75 Rev. 06-17.pdf	htttp://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 734	Number of Respondents for Small Entity: 695

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	517,976	90,315	0	427,661
Annual IC Time Burden (Hours)	5,235	2,103	0	3,132
Annual IC Cost Burden (Dollars)	4,137,805	2,180,856	600,585	1,356,364

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.