Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Accident/Incident Reporting and Recordkeeping Modified 16500 1808 0 Form FRA F 6180.55 Railroad Injury and Illness Summary
Form FRA F 6180.55a Railroad Injury and Illness Summary (Continuation Sheet)
Form FRA F 6180.54 Rail Equipment Accident/Incident Report
Form FRA F 6180.56 Annual Railroad Report of Employee Hours and Casualties by State
Form FRA F 6180.57 Highway Rail-Grade Crossing Accident/Incident Report
Form FRA F 6180.78 Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factor
Form FRA F 6180.81 Employee Human Factor Attachment
Form FRA F 6180.97 Initial Rail Equipment Accident/Incident Record
Form FRA F 6180.98 Railroad Employee Injury and/or Illness Record
Form FRA F 6180.107 Alternate Record for Illness Claimed to Be Work Related
Form FRA F 6180.150 Highway User Injury Inquiry Form
Alternative Record for Illness Claimed to Be Work Related Unchanged 600 385 0
Annual Railroad Report of Employee Hours and Casualties, by State Unchanged 744 186 0
Employee Human Factor Attachment Unchanged 12732 635 0
Highway Rail Grade Crossing Accident/Incident Report Unchanged 2160 4060 0
Highway User Statement Modified 1760 1407 0
Initial Rail Equipment Accident/Incident Record Unchanged 11871 5936 0
Notice to Railroad Employees Involved in Rail Equipment Accident/Incident Attributed to Human Factor Unchanged 4870 424 0
Rail Equipment Accident/Incident Report Unchanged 2570 4640 0
Railroad Employee Injury and/or Illness Record Unchanged 27400 14157 0
Railroad Injury and Illness Summary Unchanged 17856 1786 0
Railroad Injury and Illness Summary (Continuation Sheet) Unchanged 10377 11153 0
Total burden requested under this ICR: 109440 46577 0  
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