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

Forms and Documents

Document Name	Status
Form FRA F 6180.4b Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms Form	Modified
August_27,_2012,_FR_Notice_(30-Day).pdf Supplementary Document	2012-12-11
June 12, 2012, FR Notice (60-Day).pdf Supplementary Document	2012-09-20
SafApp2130-0565R3.doc Supporting Statement A	2013-02-12
49 CFR 231.doc Supplementary Document	2008-01-29

IC Document Collections

IC ID	Document Title	Status
26506	Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms Form	Modified

ICR Details

OMB Control No: 2130-0565	ICR Reference No: 201208-2130-005
Status: Historical Active	Previous ICR Reference No: 201012-2130-005
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/12/2013
	Date Received in OIRA: 12/12/2012
Terms of Clearance: As shown by the changes to this collection, FRA shall not include Federal inspectors in its descriptions for its burden estimates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	06/30/2014
Responses	232	0	162
Time Burden (Hours)	244	0	162
Cost Burden (Dollars)	0	0	0

---

Abstract: The collection of information is used by FRA and State MP&E safety inspectors to conduct more thorough, more effective, and more efficient sample car inspections of different types of rail freight cars that are constructed at manufacturing facilities in this country.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 35106	06/12/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 51843	08/27/2012
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Safety Appliance Concern Recommendation Report; Safety Appliance Standards Guidance Checklist Forms	FRA F 6180.4e, FRA F 6180.4b, FRA F 6180.4k, FRA F 6180.4g, FRA F 6180.4f, FRA F 6180.4h, FRA F 6180.4i, FRA F 6180.4d, FRA F 6180.4l, FRA F 6180.4m, FRA F 6180.4c, FRA F 6180.4p, FRA F 6180.4q, FRA F 6180.4a, FRA F 6180.4EZ	Sample Car Checklist for Box and Other House Cars Built After October 1, 1966 ,   Sample Car Checklist for Hopper Cars and High-side Gondolas with Fixed Ends ,   Sample Car Checklist for Drop-end High-side Gondola Cars ,   Sample Car Checklist for Fixed-end Low-side Gondola and Low-side Hopper Cars ,   Sample Car Checklist for Drop-end Low-side Gondola Cars ,   Sample Car Checklist for Flat Cars ,   Sample Car Checklist for Tank Cars with Side Platforms ,   Sample Car Checklist for Tank Cars with Side Sills and Tank Cars with Short Side Sills and End Platforms ,   Sample Car Checklist for Tank Cars without Underframes ,   Sample Car Checklist for Box and Other House Cars without Roof Hatches ,   Sample Car Checklist for Box and Other House Cars with Roof Hatches ,   Sample Car Checklist for Road Locomotives with Corner Stairways ,   Sample Car Checklist for Locomotives Used in Switching Service ,   Safety Sample Car Inspection Report ,   MPE Safety Concern Recommendation Report

---

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	232	162	0	70	0	0
Annual Time Burden (Hours)	244	162	0	82	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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 total burden for this revised information collection submission has increased by 82 hours. The increase in burden is due solely to one program change that reflects the added estimated burden for new Form FRA F 6180.4EZ. The current total burden for this information collection shows 162 hours, while the total burden for this revised submission amounts to 244 hours. Hence, there is a increase of 82 hours. There is no change in burden cost to respondents from the last approved submission. ***** As mentioned in the Supporting Justification, new Form FRA F 6180.4EZ is in the process of being made into a PDF fillable format and will be uploaded once it is completed. Thanks.

---

Annual Cost to Federal Government: $129,758

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

---

Common Form ICR:  No

---

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: 12/12/2012

---