Information Collection

Gross Earnings Report

IC 33927 under ICR 200709-3220-001 · OMB 3220-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0132 can be found here:

Documents and Forms

Document Name Document Type
Form BA-11(current) Gross Earnings Report Form and Instruction
BA-11(current) Report of Gross Earnings Form BA-11(10-02)(current).pdf http:www://rrb.gov/pdf/ba11.pdf Form and Instruction
BA-11 (proposed) Report of Gross Earnings Form BA-11 (proposed).pdf Form and Instruction
BA-11 (electronic Report of Gross Earnings (electronic equivalents) Proposed Gross Earnings Letter (BA-11 electronic equivalents).pdf Form and Instruction
BA-11 (secure E-ma Gross Earnings Report (secure E-mail and File Transfer P Proposed Program Letter (secure E-mail and FTP).pdf Form and Instruction
Form G-440 (current).pdf G-440, Report Specification Sheet (current) IC Document
Form G-440 (proposed).pdf G-440, Report Specification Sheet (proposed) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Gross Earnings Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.13

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BA-11(current)	Report of Gross Earnings	Form BA-11(10-02)(current).pdf	http:www://rrb.gov/pdf/ba11.pdf	Yes	No	Printable Only
Form and Instruction	BA-11 (proposed)	Report of Gross Earnings	Form BA-11 (proposed).pdf		Yes	No	Fillable Printable
Form and Instruction	BA-11 (electronic equivalents)	Report of Gross Earnings (electronic equivalents)	Proposed Gross Earnings Letter (BA-11 electronic equivalents).pdf		Yes	No	Fillable Fileable
Form and Instruction	BA-11 (secure E-mail and File Transfer Protocol	Gross Earnings Report (secure E-mail and File Transfer Protocol)	Proposed Program Letter (secure E-mail and FTP).pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB 29, Railroad Employees' Cumulative Gross Earnings Master File	FR Citation: 40 FR 36268

Number of Respondents: 168	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 66 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	168	-338	7	499
Annual IC Time Burden (Hours)	107	-85	-10	202
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
G-440, Report Specification Sheet (current)	Form G-440 (current).pdf	10/25/2007
G-440, Report Specification Sheet (proposed)	Form G-440 (proposed).pdf	10/25/2007

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