Inspection Report

State Safety Participation Program and Reporting of Remedial Actions

Documents and Forms

Document Name Document Type
Form FRA F 6180.96 Inspection Report Form
FRA F 6180.96 Inspection Report FRA F 6180.96.pdf Form
FRA F 6180.96a Inspection Report (Continuation) FRA F 6180.96a.pdf Form

Information Collection (IC) Details

IC Title:	Inspection Report	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 6180.96	Inspection Report	FRA F 6180.96.pdf		Yes	Yes	Fillable Fileable
Form	FRA F 6180.96a	Inspection Report (Continuation)	FRA F 6180.96a.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	19,400	19,400
Annual IC Time Burden (Hours)	4,850	4,850
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.