Information Collection

BA-6a Address Report (Internet)

IC 45669 under ICR 200709-3220-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (INTERNET) ( BA-6a Address Report (Internet)	Form and Instruction
BA-6a (INTERNET) ( BA-6a, BA-6 Address Report (Internet Equivalent) BA-6a (Internet) (12-03) screens & instructions.pdf secure.rrb.gov/employer/login_screen.html	Form and Instruction
BA-6a (Internet) ( BA-6a, BA-6 Address Report (Internet Equivalent) BA-6a (Internet) proposed.pdf secure.rrb.gov/employer/login_screen.html	Form

IC Title:

BA-6a Address Report (Internet)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 (INTERNET) (12-03)	BA-6a, BA-6 Address Report (Internet Equivalent)	BA-6a (Internet) (12-03) screens & instructions.pdf	https://secure.rrb.gov/employer/login_screen.html	Yes	Yes	Fillable Fileable Signable
Form	BA-6a (Internet) (Proposed)	BA-6a, BA-6 Address Report (Internet Equivalent)	BA-6a (Internet) proposed.pdf	https://secure.rrb.gov/employer/login_screen.html	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: 579

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	Previously Approved
Annual Number of Responses for this IC	500	50	450
Annual IC Time Burden (Hours)	121	25	96
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.