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

OMB Approved 3220-0005

Effective 01-2008

Employer Reporting Instructions
FOIDlBA-6a
Electronic Format for Form BAGa. Form BA-6 Address Report
The Information specified on this form which is required by law under Sectlon 7(b)(6) of the Railroad Retirement Act and Section 209.12
of the COde of Federal Regulatlons and is authorized for collection under OMS 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 Service Months and Compensallon. Failure to
report or the making of a false or fraudulent report can result in criminal prosecutlon or cMI penalties or both. We estimate the
electronic version of this form (magnetic tape, diskette/CD-ROM, secure E-mail and File Transfer Protocol (FTP), lakes an average of
15 minutes per response to complete, including time for reviewing the Instructions, getting the needed dala, and reviewing the
completed form.

Data Element

Record Positions

Field Size

SSN
First (initial) Name
Middle Initial
Surname

1-9
10-24
25
26-45

9
15
1
20

Address line 1 (location)

46-75

30

Address line 2 (delivery)

76-105

30

City

106-125

20

State

126-127

2

Zip code

128-132

5

Filler

133-140

8

BAnumber

141-144

4

Effective date

145-152

8

Filler

153-180

28

Record

ends

at

180
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 completlon time, to CHIEF OF INFORMATION RESOURCES MANAGEMENT, RAILROAD
RETIREMENT BOARD. 844 N RUSH STREET, CHICAGO.IL 60611-2092.