Information Collection

225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98

IC 231039 under ICR 202506-2130-001 · OMB 2130-0500.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.98 225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98	Form and Instruction
Form FRA F 6180.98 Railroad Employee Injury and/or Illness Record 225.21/25--Railroad employee injury and/or illness record--Form FRA F 6180.98	Form and Instruction
FRA F 6180.98 Railroad Employee Injury and/or Illness Record FRA F 6180.98.pdf railroads.dot.gov/forms-guides-publications/forms/current-forms	Form and Instruction
FRA F 6180.98 Railroad Employee Injury and/or Illness Record FRA F 6180.98.pdf railroads.dot.gov/forms-guides-publications/forms/current-forms	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 225

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 and Instruction	FRA F 6180.98			https://railroads.dot.gov/forms-guides-publications/forms/current-forms	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 784

Number of Respondents for Small Entity: 734

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	4,004	4,004
Annual IC Time Burden (Hours)	4,000	4,000
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.

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