Information Collection Request

Employer Reporting

ICR 200610-3220-001 · OMB 3220-0005 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form G-88a.2 (proposed) Notice of Retirement and Request for Service Needed for Eligibility Form New Repair queued
Form G-88A.2 (04-05) Notice of Retirement and Request for Service Needed for Eligibility Form New Repair queued
Form G-88A.1 (02-05) Request for Verification of Last Date Carried on Payroll Form New Repair queued
Form BA-6a (E-mail) (pr BA-6, Address Report Form and Instruction New Available
Form BA-6a (INTERNET) BA-6a, Address Report (Internet Equivalent) Form and Instruction New Available
Form Ba-6a (04-03) RRB Form BA-6a, BA-6 Address Report Form and Instruction New Available
Form AA-12 (09-03) Notice of Death and Statement of Compensation Form New Repair queued
Form AA-12 (xx-xx) Notice of Death and Request for Service Needed for Eligibility Form New Repair queued
C0005.doc Supporting Statement A Uploaded 2006-10-24 Available
BA-6a Electronic Instructions.pdf Supplementary Document Uploaded 2006-10-24 Available
Instructions.pdf Supplementary Document Uploaded 2006-10-23 Available
RRA Section 9. pdf.pdf Supplementary Document Uploaded 2006-10-13 Available
Form G-117a Current. pdf.pdf Supplementary Document Uploaded 2006-10-13 Available
Form BA-3a (07-03).pdf Supplementary Document Uploaded 2006-10-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
45674 Notice of Retirement and Request for Service Needed for Eligibility Form NewNotice of Retirement and Request for Service Needed for Eligibility
45674 Notice of Retirement and Request for Service Needed for Eligibility Form NewNotice of Retirement and Request for Service Needed for Eligibility
45673 Request for Verification of Last Date Carried on Payroll Form NewRequest for Verification of Last Date Carried on Payroll
45671 BA-6a, Address Report (e-mail) Form and Instruction NewBA-6, Address Report
45669 BA-6 Address Report (Internet) Form and Instruction NewBA-6a, Address Report (Internet Equivalent)
45668 BA-6, Address Report Form and Instruction NewRRB Form BA-6a, BA-6 Address Report
45663 Notice of Death and Statement of Compensation Form NewNotice of Death and Statement of Compensation
45663 Notice of Death and Statement of Compensation Form NewNotice of Death and Request for Service Needed for Eligibility
33801 Employer Reporting Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2010 36 Months From Approved 01/31/2007
1,958 0 3,418
418 0 570
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
BA-6 Address Report (Internet) BA-6a (INTERNET)
BA-6, Address Report Ba-6a (04-03)
BA-6a, Address Report (e-mail) BA-6a (E-mail) (proposed)(new)
Employer Reporting AA-12, G-88A.1, G.88A.2, BA-6A, BA-6A(INTERNET)
Notice of Death and Statement of Compensation AA-12 (xx-xx), AA-12 (09-03) ,  
Notice of Retirement and Request for Service Needed for Eligibility G-88A.2 (04-05), G-88a.2 (proposed) ,  
Request for Verification of Last Date Carried on Payroll G-88A.1 (02-05)

table that charts list 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 1,958 3,418 0 -1,460 0 0
Annual Time Burden (Hours) 418 570 0 -152 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No