Information Collection

Locomotive Service Day Record

IC 232605 under ICR 202407-2130-003 · OMB 2130-0505.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 5 Locomotive Service Day Record	Form
FRA F 5 Locomotive Service Day Record FRA F 5U_Fillable.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form
FRA F 5 Locomotive Service Day Record FRA F 5U_Fillable.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 230

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 5	Locomotive Service Day Record	FRA F 5U_Fillable.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 81

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

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.