RAILROAD SEPARATION ALLOWANCE OR SEVERANCE PAY REPORT

ICR 199509-3220-005

OMB: 3220-0173

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
42924 Migrated
ICR Details
3220-0173 199509-3220-005
Historical Active 199210-3220-002
RRB
RAILROAD SEPARATION ALLOWANCE OR SEVERANCE PAY REPORT
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/1995
Retrieve Notice of Action (NOA) 09/30/1995
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 12/31/1995
5,000 0 5,000
6,250 0 6,250
0 0 0

SECTION 7301 OF THE RAILROAD UNEMPLOYMENT AND RETIREMENT ACT OF 1988 (P.L. 100-647) PROVIDES FOR A LUMP-SUM PAYMENT TO AN EMPLOYEE OR THE EMPLOYEE'S SURVIVOR EQUAL TO THE TIER 2 TAXES PAID BY THE EMPLOYEE ON A SEPARATION ALLOWANCE OR SEVERANCE PAYMENT FOR WHICH THE EMPLOYEE DID NOT RECEIVE CREDITS TOWARDS RETIREMENT. THE COLLECTION OBTAINS THE INFORMATION NEEDED FROM RAILROAD EMPLOYERS CONCERNING THE SEPARATION.

None
None


No

1
IC Title Form No. Form Name
RAILROAD SEPARATION ALLOWANCE OR SEVERANCE PAY REPORT BA-9

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 6,250 6,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/30/1995


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