Alleged Violation Reporting Form

Forms and Documents

Document Name	Status
Form FRA F 6180.151 Alleged Violation Reporting Form Form	Modified
AllgdViolRptFrm0590.doc Supporting Statement A	2016-11-28
Nov. 25, 2016, FR Notice (30-Day).pdf Supplementary Document	2016-11-25
Sept. 23, 2016, FR Notice (60-Day; 0590).pdf Supplementary Document	2016-11-22
P.L. 110-432 (Sec. 307b).doc Supplementary Document	2010-07-02
49 CFR 1.49 (4-10).doc Supplementary Document	2010-07-02
49 U.S.C. 20103.doc Supplementary Document	2010-07-02

IC Document Collections

IC ID	Document Title	Status
193693	Alleged Violation Reporting Form Form	Modified

ICR Details

OMB Control No: 2130-0590	ICR Reference No: 201611-2130-002
Status: Historical Active	Previous ICR Reference No: 201403-2130-010
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Alleged Violation Reporting Form
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: 01/17/2017
	Date Received in OIRA: 11/28/2016
Terms of Clearance: Previous terms of clearance remain in effect. In addition, this ICR should have been submitted as an extension without change because all changes are classified as adjustments instead of program changes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	480	0	300
Time Burden (Hours)	80	0	50
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information is used by FRA to improve safety by gathering data from the public regarding alleged or perceived violations of Federal safety and hazardous materials laws and regulations. FRA follows-up on forms submitted by the public with further contact by an agency representative to determine whether such violations have actually taken place. Where violations are verified, FRA will take appropriate measures to ensure safety and prevent future violations.

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Authorizing Statute(s): PL: Pub.L. 110 - 432 307(b) Name of Law: Rail Safety Improvement Act of 2008
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 65698	09/23/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 85321	11/25/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Alleged Violation Reporting Form	FRA F 6180.151	Alleged Violation Reporting 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	480	300	0	0	180	0
Annual Time Burden (Hours)	80	50	0	0	30	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: As noted in the answer to question number 15 of the attached Supporting Justification, the burden for this information collection has increased by 30 hours from the previously approved submission. The change in burden is due solely to an adjustment (revised estimate) for the number of forms (Form FRA F 6180.151) that will be completed each year (from 300 to 480). This adjustment increased the burden from 50 hours to 80 hours. There are no program changes at this time. The current FRA OMB inventory shows a total burden of 50 hours for this collection of information, while the present request exhibits a total burden of 80 hours. Hence, there is a total increase of 30 hours for this information collection. There is no change in costs to respondents from the previously approved submission.

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Annual Cost to Federal Government: $0

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: 11/28/2016

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