Information Collection

Roadway Worker Protection: Roadway Maintenance Machines

IC 26462 under ICR 202412-2130-004 · OMB 2130-0539.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.119 Roadway Worker Protection: Roadway Maintenance Machines	Form
Form FRA F 6180.119 Part 214 Railroad Workplace Safety Violation Report Form Roadway Worker Protection: Roadway Maintenance Machines	Form
FRA F 6180.119 Part 214 Railroad Workplace Safety Violation Report Form FRA F 6180.119_Fillable.pdf	Form
FRA F 6180.119 Part 214 Railroad Workplace Safety Violation Report Form FRA F 6180.119_Fillable.pdf	Form

IC Title:

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:

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 6180.119				Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 704

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	290,698	184,947	105,751
Annual IC Time Burden (Hours)	13,604	7,985	5,619
Annual IC Cost Burden (Dollars)	5,505	-194,850	200,355

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].