BA-6a, Address Report (e-mail)

Employer Reporting

⚠️ Notice: This information collection may be referencing outdated material.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 (E-mail) (pr BA-6a, Address Report (e-mail) Form and Instruction
BA-6a (E-mail) (pr BA-6, Address Report Program Letter for E-mail Ba-6a (proposed).pdf Form and Instruction
passback.pdf passback IC Document

Information Collection (IC) Details

IC Title:	BA-6a, Address Report (e-mail)	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 (E-mail) (proposed)(new)	BA-6, Address Report	Program Letter for E-mail Ba-6a (proposed).pdf		Yes	Yes	Fillable Fileable Signable

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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
passback	passback.pdf	01/23/2007

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