Information Collection

BA-6, Address Report

IC 45668 under ICR 200610-3220-001 · OMB 3220-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0005 can be found here:

Documents and Forms

Document Name Document Type
Form Ba-6a (04-03) BA-6, Address Report Form and Instruction
Ba-6a (04-03) RRB Form BA-6a, BA-6 Address Report Form BA-6a Current.pdf www.rrb.gov/pdf/AandT/ba6a.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	BA-6, Address Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Ba-6a (04-03)	RRB Form BA-6a, BA-6 Address Report	Form BA-6a Current.pdf	http://www.rrb.gov/pdf/AandT/ba6a.pdf	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement Survivor and Pensioner Benefit System	FR Citation: 40 FR 36268

Number of Respondents: 495	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	424	424
Annual IC Time Burden (Hours)	189	189
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.