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 (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-6a, Address Report (e-mail) Form and Instruction New Available
Form BA-6a (INTERNET) BA-6 Address Report (Internet) Form and Instruction New Repair queued
Form Ba-6a (04-03) BA-6, Address Report Form and Instruction New Repair queued
Form AA-12 (xx-xx) Notice of Death and Statement of Compensation 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 New
45673 Request for Verification of Last Date Carried on Payroll Form New
45671 BA-6a, Address Report (e-mail) Form and Instruction New
45669 BA-6 Address Report (Internet) Form and Instruction New
45668 BA-6, Address Report Form and Instruction New
45663 Notice of Death and Statement of Compensation Form New
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





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