BA-6a (electronic BA-6a, BA-6 Address Report

OMB Approved 3220-0005
Employer Reporting Instructions
Form BA-6a

Effective 01-2008

PROPOSED
Electronic Format for Form BAGa, Form BA-6 Address Report

The information specified on this form which is required by law under Section 7(b)(6) of the Railroad Retirement Act and Section 209.12
of the Code of Federal Regulations and is authorized for collection under OMB control number 3220-0005, will be used by the Railroad
Retirement Board to mail to the employees of your company Form BA-6, Certificate of Sewice Months and Compensation. Failure to
report or the making of a false or fraudulent report can result in criminal prosecution or civil penalties or both. We estimate the
electronic version of this form (magnetic tape, diskette1CD-ROM, secure E-mail and File Transfer Protocol (FTP), takes an average of
15 minutes per response to complete, including time for reviewing the instructions, getting the needed data, and reviewing the
completed form.

Data Element

Record Positions

Field Size

First (initial) Name

Address line 2 (delivery)

76-105

City

106-125

State

126-127

Zip code

128-132

Filler

133-140

BA number

141-144

Effective date

145-152

Filler

153-180

Record
180

28

ends

at

Paperwork Reduction Act Notice
Federal agencies may not conduct or sponsor, and respondents are not required to respond to, any collection of information unless it
displays a valid OMB number. If you wish, send comments regarding the accuracy of our estimates or any other aspect of these forms,
including suggestions for reducing completion time, to CHIEF OF INFORMATION RESOURCES MANAGEMENT, RAILROAD
RETIREMENT BOARD, 844 N RUSH STREET, CHICAGO, IL 60611-2092.