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225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57
Accident/Incident Reporting and Recordkeeping
OMB: 2130-0500
IC ID: 231035
OMB.report
DOT/FRA
OMB 2130-0500
ICR 202111-2130-002
IC 231035
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0500 can be found here:
2023-07-24 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FRA F 6180.57
225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57
Form and Instruction
FRA F 6180.57 Highway Rail-Grade Crossing Accident/Incident Report
FRA F 6180.57.pdf
railroads.dot.gov/forms-guides-publications/forms/current-forms
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
49 CFR 225
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 6180.57
Highway Rail-Grade Crossing Accident/Incident Report
FRA F 6180.57.pdf
https://railroads.dot.gov/forms-guides-publications/forms/current-forms
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:
765
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,231
0
0
0
0
2,231
Annual IC Time Burden (Hours)
4,462
0
0
0
0
4,462
Annual IC Cost Burden (Dollars)
0
0
0
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.