Accident/Incident Reporting and Recordkeeping

Forms and Documents

Document Name	Status
Form FRA F 6180.56 Accident/Incident Reporting and Recordkeeping Form	Modified
49 CFR 225.doc Supplementary Document	2007-12-18
49CFR1.49.doc Supplementary Document	2007-12-18
49 U.S.C. 20103.doc Supplementary Document	2007-12-18
49 U.S.C. 322(a).doc Supplementary Document	2007-12-18
49 U.S.C. 103 (c).doc Supplementary Document	2007-12-18
49 USC 21301-21304.doc Supplementary Document	2007-12-18
49 U.S.C. 20901-20903.doc Supplementary Document	2007-12-18
AccInc2130-0500.doc Supporting Statement A	2007-12-18

IC Document Collections

IC ID	Document Title	Status
26389	Accident/Incident Reporting and Recordkeeping Form	Modified

ICR Details

OMB Control No: 2130-0500	ICR Reference No: 200712-2130-001
Status: Historical Active	Previous ICR Reference No: 200602-2130-001
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Accident/Incident Reporting and Recordkeeping
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/19/2008
	Date Received in OIRA: 12/21/2007
Terms of Clearance: In its next submission, the agency should remove the cost burdens because they are a monetization of the burden hours. The agency is reminded to avoid such double-counting of burden in the future.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved	02/29/2008
Responses	78,002	0	77,002
Time Burden (Hours)	47,521	0	46,021
Cost Burden (Dollars)	178,286	0	176,000

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Abstract: FRA uses the information obtain through its accident/incident regulations to identify and promptly ameliorate hazardous conditions associated with rail transportation and to monitor railroad operational practices.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 57097	10/05/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 71732	12/18/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Accident/Incident Reporting and Recordkeeping	F RA F 6180.107, FRA F 6180.55, FRA F 6180.57, FRA F 6180.78, FRA F 6180.99, FRA F 6180.54, FRA F 6180.39i, FRA F 6180.55a, FRA F 6180.98, FRA F 6180.97, FRA F 6180.56	Annual Report of Employee Hours and Casualties, By State ,   Highway-Rail Grade Crossing Accident/Incident Report ,   Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor (Employee Statement Supplementing Railroad Accident Report) ,   Employee Human Factor Attachment ,   Railroad Employee Injury and/or Illness Record ,   Alternative Record For Illness Claimed To Be Work-Related ,   FRA Batch Control For Magnetic Media ,   Railroad Accident/Incident Notification and Initial Investigation Report ,   Rail Equipment Accident/Incident Report ,   Railroad Injury and Illness Summary ,   Railroad Injury and Illness Summary (Continuation Sheet)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	78,002	77,002	0	1,000	0	0
Annual Time Burden (Hours)	47,521	46,021	0	1,500	0	0
Annual Cost Burden (Dollars)	178,286	176,000	0	2,286	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden for this renewal information collection has increased by 1,500 hours. The increase in burden is due to a program change. Specifically, under section 225.21-Forms, FRA is introducing a new automated version of Form FRA F 6180.39i, which will be used by Federal and State inspectors. The estimated burden for this new form is 1,500 hours. The current OMB inventory for this collection shows 46,021 hours, while this submission exhibits a total of 47,521 hours. Hence, there is an increase of 1,500 hours.

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Annual Cost to Federal Government: $465,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/21/2007

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