Roadway Worker Protection: Roadway Maintenance Machines

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0539 can be found here:

Documents and Forms

Document Name Document Type
Form FRA F 6180.119 Roadway Worker Protection: Roadway Maintenance Machines Form
FRA F 6180.119 Part 214 Railroad Workplace Safety Violation Report Form FRA F 6180.119.pdf safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Roadway Worker Protection: Roadway Maintenance Machines	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.119	Part 214 Railroad Workplace Safety Violation Report Form	FRA F 6180.119.pdf	http://safetydata.fra.dot.gov/officeofsafety/Forms/Default.asp	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 644	Number of Respondents for Small Entity: 611

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22,816,613	3,486,641	0	19,329,972
Annual IC Time Burden (Hours)	845,230	24,451	3,421	817,358
Annual IC Cost Burden (Dollars)	3,000,854	-146	0	3,001,000

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.