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

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
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

Information Collection (IC) Details

View Information Collection (IC)

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

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FRA F 6180.98	Railroad Employee Injury and/or Illness Record	FRA F 6180.98.pdf	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 %

	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

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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