Information Collection

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

IC 45671 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.