Information Collection Request

Accident/Incident Reporting and Recordkeeping

ICR 202506-2130-001 · OMB 2130-0500 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FRA F 6180.150 Highway User Injury Inquiry Form Form and Instruction Removed Repair queued
Form FRA F 6180.150 225.21--Highway User Statement--Form FRA F 6180.150 Form and Instruction Removed Repair queued
Form FRA F 6180.107 Alternate Record for Illness Claimed to Be Work Related Form and Instruction Removed Available
Form FRA F 6180.107 225.21--Alternative record for illnesses claimed to be work related--Form FRA F 6180.107 Form and Instruction Removed Repair queued
Form FRA F 6180.98 Railroad Employee Injury and/or Illness Record Form and Instruction Unchanged Repair queued
Form FRA F 6180.98 225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98 Form and Instruction Unchanged Repair queued
Form FRA F 6180.97 Initial Rail Equipment Accident/Incident Record Form and Instruction Unchanged Repair queued
Form FRA F 6180.97 225.21--Initial rail equipment accident/incident record--Form FRA F 6180.97 Form and Instruction Unchanged Repair queued
Form FRA F 6180.81 Employee Human Factor Attachment Form and Instruction Unchanged Available
Form FRA F 6180.81 225.12--Rail equipment accident/incident reports alleging human factor as cause--Form FRA F 6180.81 Form and Instruction Unchanged Repair queued
Form FRA F 6180.78 Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor Form and Instruction Unchanged Repair queued
Form FRA F 6180.78 225.12(b)--Notice to Railroad Employees Involved in Rail Equipment Accident/Incident Attributed to Human Factor--Form FRA F 6180.78 Form and Instruction Unchanged Repair queued
Form FRA F 6180.57 Highway Rail-Grade Crossing Accident/Incident Report Form and Instruction Unchanged Repair queued
Form FRA F 6180.57 225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57 Form and Instruction Unchanged Repair queued
Form FRA F 6180.56 Annual Railroad Report of Employee Hours and Casualties by State Form and Instruction Unchanged Repair queued
Form FRA F 6180.56 225.21--Annual railroad report of employee hours and casualties, by state--Form FRA F 6180.56 Form and Instruction Unchanged Repair queued
Form FRA F 6180.55a Railroad Injury and Illness Summary Form and Instruction Unchanged Available
Form FRA F 6180.55a 225.19(d)--Death, injury, or occupational illness--Form FRA F 6180.55a) Form and Instruction Unchanged Repair queued
Form FRA F 6180.55 Railroad Injury and Illness Summary Form and Instruction Unchanged Available
Form FRA F 6180.55 225.21--Railroad injury and illness summary--Form FRA F 6180.55 Form and Instruction Unchanged Available
Form FRA F 6180.54 Rail Equipment Accident/Incident Report Form and Instruction Unchanged Repair queued
Form FRA F 6180.54 225.11--Reporting of accidents/incidents--Form FRA F 6180.54 Form and Instruction Unchanged Repair queued
2130-0500_Accident Incident Reporting SJ (07-02-2025).docx Supporting Statement A Uploaded 2025-07-02 Repair queued
2130-0500_Accident Incident Reporting SJ (07-02-2025).docx Supporting Statement A Uploaded 2025-07-02 Repair queued
49 CFR 1.89 Delegations to Federal Railroad Administrator.pdf Supplementary Document Uploaded 2021-05-18 Repair queued
49 CFR 1.89 Delegations to Federal Railroad Administrator.pdf Supplementary Document Uploaded 2021-05-18 Repair queued
Public Outreach Document for Question 8.pdf Supplementary Document Uploaded 2021-04-30 Repair queued
Public Outreach Document for Question 8.pdf Supplementary Document Uploaded 2021-04-30 Repair queued
49 CFR 225.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 CFR 225.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 20103.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 20103.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 322(a).doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 322(a).doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 103 (c).doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 103 (c).doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 USC 21301-21304.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 USC 21301-21304.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 20901-20903.doc Supplementary Document Uploaded 2007-12-18 Repair queued
49 U.S.C. 20901-20903.doc Supplementary Document Uploaded 2007-12-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
26389 225.6 and 225.9--Consolidated and telephonic reportings Modified
247103 225.37--Optical media transfer of reports, updates, and amendments Modified
247102 225.35--Access to records and reports Modified
247101 225.33--Internal Control Plans--Amendments Unchanged
247100 225.27--Retension of records Unchanged
247099 225.25--Posting of monthly summary Unchanged
247098 225.18--Alcohol or drug involvement Unchanged
247097 225.13--Late Reports Unchanged
231041 225.21--Highway User Statement--Form FRA F 6180.150 Form and Instruction RemovedHighway User Injury Inquiry Form
231041 225.21--Highway User Statement--Form FRA F 6180.150 Form and Instruction Removed
231040 225.21--Alternative record for illnesses claimed to be work related--Form FRA F 6180.107 Form and Instruction RemovedAlternate Record for Illness Claimed to Be Work Related
231040 225.21--Alternative record for illnesses claimed to be work related--Form FRA F 6180.107 Form and Instruction Removed
231039 225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98 Form and Instruction UnchangedRailroad Employee Injury and/or Illness Record
231039 225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98 Form and Instruction Unchanged
231038 225.21--Initial rail equipment accident/incident record--Form FRA F 6180.97 Form and Instruction UnchangedInitial Rail Equipment Accident/Incident Record
231038 225.21--Initial rail equipment accident/incident record--Form FRA F 6180.97 Form and Instruction Unchanged
231037 225.12--Rail equipment accident/incident reports alleging human factor as cause--Form FRA F 6180.81 Form and Instruction UnchangedEmployee Human Factor Attachment
231037 225.12--Rail equipment accident/incident reports alleging human factor as cause--Form FRA F 6180.81 Form and Instruction Unchanged
231036 225.12(b)--Notice to Railroad Employees Involved in Rail Equipment Accident/Incident Attributed to Human Factor--Form FRA F 6180.78 Form and Instruction UnchangedNotice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor
231036 225.12(b)--Notice to Railroad Employees Involved in Rail Equipment Accident/Incident Attributed to Human Factor--Form FRA F 6180.78 Form and Instruction Unchanged
231035 225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57 Form and Instruction UnchangedHighway Rail-Grade Crossing Accident/Incident Report
231035 225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57 Form and Instruction Unchanged
231034 225.21--Annual railroad report of employee hours and casualties, by state--Form FRA F 6180.56 Form and Instruction UnchangedAnnual Railroad Report of Employee Hours and Casualties by State
231034 225.21--Annual railroad report of employee hours and casualties, by state--Form FRA F 6180.56 Form and Instruction Unchanged
231032 225.19(d)--Death, injury, or occupational illness--Form FRA F 6180.55a) Form and Instruction UnchangedRailroad Injury and Illness Summary
231032 225.19(d)--Death, injury, or occupational illness--Form FRA F 6180.55a) Form and Instruction Unchanged
231031 225.21--Railroad injury and illness summary--Form FRA F 6180.55 Form and Instruction UnchangedRailroad Injury and Illness Summary
231031 225.21--Railroad injury and illness summary--Form FRA F 6180.55 Form and Instruction Unchanged
231022 225.11--Reporting of accidents/incidents--Form FRA F 6180.54 Form and Instruction UnchangedRail Equipment Accident/Incident Report
231022 225.11--Reporting of accidents/incidents--Form FRA F 6180.54 Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2026 36 Months From Approved 12/31/2026
88,176 0 88,176
30,284 0 30,284
0 0 0





Reginfo record details
17
table that charts list of burden
IC Title Form No. Form Name
225.11--Reporting of accidents/incidents--Form FRA F 6180.54 FRA F 6180.54
225.12(b)--Notice to Railroad Employees Involved in Rail Equipment Accident/Incident Attributed to Human Factor--Form FRA F 6180.78 FRA F 6180.78
225.12--Rail equipment accident/incident reports alleging human factor as cause--Form FRA F 6180.81 FRA F 6180.81
225.13--Late Reports
225.18--Alcohol or drug involvement
225.19(a)--Rail-highway grade crossing accident/incident report--Form FRA F 6180.57 FRA F 6180.57
225.19(d)--Death, injury, or occupational illness--Form FRA F 6180.55a) FRA F 6180.55a
225.21--Alternative record for illnesses claimed to be work related--Form FRA F 6180.107 FRA F 6180.107
225.21--Annual railroad report of employee hours and casualties, by state--Form FRA F 6180.56 FRA F 6180.56
225.21--Highway User Statement--Form FRA F 6180.150 FRA F 6180.150
225.21--Initial rail equipment accident/incident record--Form FRA F 6180.97 FRA F 6180.97
225.21--Railroad injury and illness summary--Form FRA F 6180.55 FRA F 6180.55
225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98 FRA F 6180.98
225.25--Posting of monthly summary
225.27--Retension of records
225.33--Internal Control Plans--Amendments
225.35--Access to records and reports
225.37--Optical media transfer of reports, updates, and amendments
225.6 and 225.9--Consolidated and telephonic reportings



Reginfo record details
  No