Accident/Incident Reporting and Recordkeeping

Forms and Documents

Document Name	Status
Form FRA F 6180.39i Accident/Incident Reporting and Recordkeeping Form	Modified
drSuppDocAccInc2130-0500.doc Supplementary Document	2011-02-17
Accident and Incident Companion Guide 2010.pdf Supplementary Document	2010-11-09
FRA Revised Accident-Incident Guide 11-4-10.pdf Supplementary Document	2010-11-09
drSuppDocAccInc0500.doc Supplementary Document	2010-11-09
drfAccIncFNLRLE2.doc Supporting Statement A	2011-02-17
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

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: 201011-2130-001
Status: Historical Active	Previous ICR Reference No: 200712-2130-001
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: 02/17/2011
	Date Received in OIRA: 11/10/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved	02/28/2011
Responses	139,746	0	78,002
Time Burden (Hours)	59,432	0	47,521
Cost Burden (Dollars)	216,000	0	178,286

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Abstract: FRA uses the information obtain through its accident/incident regulations to maintain a current and historical databased so that it can monitor the safety and operational practices of the nation's railroads; to identify and promptly ameliorate hazardous conditions associated with rail transportation; and to assure compliance with Federal railroad safety laws.

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Authorizing Statute(s): US Code: 49 USC 20901 Name of Law: (Formerly Part of Accident Reports Act)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2130-AB82	Final or interim final rulemaking	75 FR 68862	11/09/2010

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Federal Register Notices & Comments

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	FRA F 6180.55, FRA F 6180.39i, FRA F 6180.55, FRA F 6180.55a, FRA F 6180.98, FRA F 6180.57, FRA F 6180.56, FRA F 6180.98, FRA F 6180.78, FRA F 6180.81, FRA F 6180.54, FRA F 6180.54, FRA F 6180.107, FRA F 6180.150	Railroad Accident/Incident Notification and Initial Investigation Report ,   Railroad Injury and Illness Summary ,   Railroad Injury and Illness Summary ,   Railroad Injury and Illness Summary ,   Annual Railroad Report of Employee Hours and Casualties, By State ,   Rail Equipment Accident/Incident Report ,   Rail Equipment Accident/Incident Report ,   Highway-Rail Grade Crossing Accident/Incident Report ,   Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor ,   Employee Human Factor Attachment ,   Initial Rail Equipment Accident/Incident Record ,   Railroad Employee Injury and/or Illness Record ,   Alternative Record for Illnesses Claimed to Be Work-Related ,   Highway User Injury Inquiry Form

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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	139,746	78,002	0	61,744	0	0
Annual Time Burden (Hours)	59,432	47,521	0	11,911	0	0
Annual Cost Burden (Dollars)	216,000	178,286	0	37,714	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The burden for this information collection has increased by 11,911 hours. The increase in hours is due to both to program changes and adjustments. **** Please see the detailed explanation in answer to question number 15 of the Supporting Justification or the attached file that provides a complete Summary of Program Changes and Adjustments. Overall, program changes increased the burden by 6,069 hours and adjustments increased the burden by 5,842 hours. Total burden increases then amounted to 12,162 hours, while total burden decreases amounted to 251 hours. The current burden for this collection of information listed in OMB’s inventory shows 47,521 hours, while the total burden for this renewal submission amounts to 59,432 hours. Hence, there is an increase of 11,911 hours. The burden cost to respondents has increased by $40,500 from the last approved submission. As noted in the final rule, notarization of documents (i.e., Form FRA F 6180.55) is no longer required and so this expense has been eliminated. The increase in cost is due to a program change concerning the modification of electronic recordkeeping systems by railroads. (Note: The current OMB inventory has the cost to respondents listed at $178,286. However, as listed in the last approved Supporting Justification, the actual/correct number is $175,500.)

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Annual Cost to Federal Government: $150,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 11/10/2010

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