Information Collection

Accident/Incident Reporting Rules Violation Report Form

IC 276635 under ICR 202507-2130-001 · OMB 2130-0509.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.61 Accident/Incident Reporting Rules Violation Report Form	Form
Form FRA F 6180.61 Accident/Incident Reporting rules Violation Form Accident/Incident Reporting Rules Violation Report Form	Form
FRA F 6180.61 Accident/Incident Reporting rules Violation Form FRA F 6180.61.pdf	Form
FRA F 6180.61 Accident/Incident Reporting rules Violation Form FRA F 6180.61.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 212 49 CFR 209

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 6180.61				Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	8	8
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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