Information Collection

Statutory Notification of PTC System Failures (Form 6180.177)

IC 240737 under ICR 202106-2130-003 · OMB 2130-0553.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0553 can be found here:

Documents and Forms

Document Name Document Type
Form FRA F 6180.177 Statutory Notification of PTC System Failures (Form 6180.177) Form
FRA F 6180.177 Statutory Notification of PTC System Failures Statutory_Notification_PTC_System_Failures_WebFormFRA 6180.177.pdf safetydata.fra.dot.gov/PTCSystemFailuresFRAForm177/ Form
FRA F 6180.177 Statutory Notification of PTC System Failures Statutory_Notification_PTC_System_Failures_WebFormFRA 6180.177.pdf safetydata.fra.dot.gov/PTCSystemFailuresFRAForm177/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statutory Notification of PTC System Failures (Form 6180.177)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 236

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.177	Statutory Notification of PTC System Failures	Statutory_Notification_PTC_System_Failures_WebFormFRA 6180.177.pdf	https://safetydata.fra.dot.gov/PTCSystemFailuresFRAForm177/	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38	Number of Respondents for Small Entity: 5

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	144	-46	190
Annual IC Time Burden (Hours)	144	-46	190
Annual IC Cost Burden (Dollars)	0	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.