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Accident/Incident Reporting Rules Violation Report Form
State Safety Participation Program and Reporting of Remedial Actions
OMB: 2130-0509
IC ID: 276635
OMB.report
DOT/FRA
OMB 2130-0509
ICR 202507-2130-001
IC 276635
( )
Documents and Forms
Document Name
Document Type
Form FRA F 6180.61
Accident/Incident Reporting Rules Violation Report Form
Form
FRA F 6180.61 Accident/Incident Reporting rules Violation Form
FRA F 6180.61.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Accident/Incident Reporting Rules Violation Report Form
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FRA F 6180.61
Accident/Incident Reporting rules Violation Form
FRA F 6180.61.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2
0
0
2
0
0
Annual IC Time Burden (Hours)
8
0
0
8
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
