Document Name Document Type
Form FRA F 6180.4q Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms Form
FRA F 6180.4a MP&E Safety Recommendation Report Form FRA F 6180.4a.pdf http;//safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4b Sample Car Inspection Checklist for: Box and other house Form FRA F 6180.4b.pdf http:safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4c Sample Car Checklist for: Hopper Cars and High-side Gond Form FRA F 6180.4c.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4d Sample Car Inspection Checklst for: Drop-end High-side G Form FRA F 6180.4d.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4e Sample Car Checklist for: Fixed-end Low-side Gondola and Form FRA F 6180.4e.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4f Sample Car Inspection Checklist for: Drop-end Low-side G Form FRA F 6180.4f.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4g Sample Car Checklist for: Flat Cars (Sec. 213.6) Form FRA F 6180.4g.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4h Sample Car Checklist for: Tank Cars with Side Platforms Form FRA F 6180.4h.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4i Sample Car Inspection Checklist for: Tank Cars without S Form FRA F 6180.4i.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F6180.4j Sample Car Checklist for: Tank Cars without End Sills (S Form FRA F 6180.4j.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4k Sample Car Inspection Checklist for: Tank Cars without U Form FRA F 6180.4k.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4l Sample Car Inspection Checklist for: Box and Other House Form FRA F 6180.4l.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4m Sample Car Inspection Checklist for: Box and Other House Form FRA F 6180.4m.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FR A F 6180.4n Sample Car Inspection Checklist for: Passenger-train Car Form FRA F 6180.4n.pdf http:://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4o Sample Car Inspection Checklist for: Passenger-train Car Form FRA F 6180.4o.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4p Sample Car Inspection Checklist for: Road Locomotives wi Form FRA F 6180.4p.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form
FRA F 6180.4q Sample Car Inspection Checklist for: Locomotives Used in Form FRA F 6180.4q.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form

Information Collection (IC) Details

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IC Title:	Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.4q	Sample Car Inspection Checklist for: Locomotives Used in Switching Service (Sec. 231.30)	Form FRA F 6180.4q.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4a	MP&E Safety Recommendation Report	Form FRA F 6180.4a.pdf	http;//safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	Yes	Paper Only
Form	FRA F 6180.4b	Sample Car Inspection Checklist for: Box and other house cars built or placed in service before October 1, 1966 (Sec. 231.1)	Form FRA F 6180.4b.pdf	http:safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4c	Sample Car Checklist for: Hopper Cars and High-side Gondolas with Fixed Ends (Sec. 231.2)	Form FRA F 6180.4c.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4d	Sample Car Inspection Checklst for: Drop-end High-side Gondola Cars (Sec. 231.3)	Form FRA F 6180.4d.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4e	Sample Car Checklist for: Fixed-end Low-side Gondola and Low-side Hopper Cars (Sec. 231.4)	Form FRA F 6180.4e.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4f	Sample Car Inspection Checklist for: Drop-end Low-side Gondoal Cars (Sec. 231.5)	Form FRA F 6180.4f.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4g	Sample Car Checklist for: Flat Cars (Sec. 213.6)	Form FRA F 6180.4g.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4h	Sample Car Checklist for: Tank Cars with Side Platforms (Sec. 231.7)	Form FRA F 6180.4h.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4i	Sample Car Inspection Checklist for: Tank Cars without Side Sills and Tank Cars with Short Side Sills and End Platforms (Sec. 231.8)	Form FRA F 6180.4i.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F6180.4j	Sample Car Checklist for: Tank Cars without End Sills (Sec. 231.9)	Form FRA F 6180.4j.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4k	Sample Car Inspection Checklist for: Tank Cars without Underframes (Sec. 231.21)	Form FRA F 6180.4k.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4l	Sample Car Inspection Checklist for: Box and Other House Cars w/o Roof Hatches (Sec. 231.27)	Form FRA F 6180.4l.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4m	Sample Car Inspection Checklist for: Box and Other House Cars with Roof Hatches (Sec. 231.28)	Form FRA F 6180.4m.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FR A F 6180.4n	Sample Car Inspection Checklist for: Passenger-train Cars with Open-end Platforms (Sec. 231.13)	Form FRA F 6180.4n.pdf	http:://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4o	Sample Car Inspection Checklist for: Passenger-train Cars w/o End Platforms (Sec. 231.14)	Form FRA F 6180.4o.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only
Form	FRA F 6180.4p	Sample Car Inspection Checklist for: Road Locomotives with Corner Stairways (Sec.. 231.29)	Form FRA F 6180.4p.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	186	0	-54	240
Annual IC Time Burden (Hours)	182	16	-74	240
Annual IC Cost Burden (Dollars)	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.

Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms

Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms

OMB: 2130-0565

IC ID: 26506

View Information Collection (IC)