Accident/Incident Reporting and Recordkeeping

Forms and Documents

Document Name	Status
Form FRA F 6180.39i Accident/Incident Reporting and Recordkeeping Form	Modified
AccInc 2130-0500R3.doc Supporting Statement A	2016-02-11
Aug. 12, 2015, FR Notice (30-Day).pdf Supplementary Document	2015-08-12
April 24, 2015, FR Notice (60-Day).pdf Supplementary Document	2015-08-12
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: 201508-2130-002
Status: Historical Active	Previous ICR Reference No: 201405-2130-001
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 with change	Conclusion Date: 02/24/2016
	Date Received in OIRA: 11/30/2015
Terms of Clearance: FRA will provide notification of the new reporting requirements for crude oil accidents and where the instructions may be found in a prominent place on the webpage that reporters use to fill out and submit the form electronically and, if applicable, on the webpage where reporters download the form to complete it manually. In addition, in the next ICR for this collection, DOT is asked to provide OMB by no later than the date this approval expires one of the following: a joint PHMSA-FRA plan, coordinated with OST, to create a single system for electronically reporting accident information involving trains, pipelines, and hazardous materials and eliminates duplicative reporting requirements and redundant agency IT systems to the extent feasible OR a joint PHMSA-FRA report, coordinated with OST, indicating the reasons why developing such a plan is neither consistent with the PRA’s purposes nor otherwise in the public’s interest, the process used to arrive at this conclusion, and the extent public stakeholders were consulted. As part of the plan, PHMSA and FRA may explore whether additional or modified information should be collected to improve execution of agency missions and the utility of the information collected, consistent with the PRA. OMB plans to add these terms of clearance to all relevant PHMSA and FRA accident reporting collections, as appropriate.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	05/31/2017
Responses	103,976	0	103,976
Time Burden (Hours)	39,058	0	39,028
Cost Burden (Dollars)	0	0	0

---

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.

---

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

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:
	80 FR 23069	04/24/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48415	08/12/2015
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Accident/Incident Reporting and Recordkeeping	FRA F 6180.54, 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 6180.107, FRA F 6180.150, Draft FRA F 6180,54 w/Rev. Public Protection Stmnt	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 ,   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 ,   Rail Equipment Accident/Incident Report ,   Rail Equipment Accident/Incident 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	103,976	103,976	0	0	0	0
Annual Time Burden (Hours)	39,058	39,028	0	30	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 burden for this information collection has increased by 30 hours from the last approved submission. The increase in hours is due solely to one (1) program change relating to the modified instructions for Form FRA F 6180.54 that will utilize existing Special Study Blocks to capture accident information involving crude oil. The table provided in the attached Supporitng Justification lists the change in estimates. There are no adjustments at this time. The current OMB agency inventory for this information collection shows a total burden of 39,028 hours, while the present submission reflects a total burden of 39,058 hours. Hence, there is a total increase in burden of 30 hours. There is no change in costs to respondents from the previous submission.

---

Annual Cost to Federal Government: $1,000

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

---

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: 11/30/2015

---