Information Collection

Gross Earnings Report

IC 33927 under ICR 201012-3220-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form BA-11(01-08) Gross Earnings Report	Form and Instruction
BA-11(01-08) Report of Gross Earnings BA-11 (01-08).pdf http:www://rrb.gov/pdf/ba11.pdf	Form and Instruction
BA-11 (electronic Report of Gross Earnings (electronic equivalents) Report of Gross Earnings for 2010 (12-2010).pdf	Form and Instruction
BA-11 (secure E-ma Gross Earnings Report (secure E-mail and File Transfer P Program Letter 2008-05 (secure E-mail and FTP).pdf www.rrb.gov/pdf/AandT/pl08-05.pdf	Form and Instruction
G-440 (01-08).pdf G-440, Report Specification Sheet (01-08)	IC Document

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:

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-11(01-08)	Report of Gross Earnings	BA-11 (01-08).pdf	http:www://rrb.gov/pdf/ba11.pdf	Yes	No	Printable Only
Form and Instruction	BA-11 (electronic equivalents)	Report of Gross Earnings (electronic equivalents)	Report of Gross Earnings for 2010 (12-2010).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)	Program Letter 2008-05 (secure E-mail and FTP).pdf	http://www.rrb.gov/pdf/AandT/pl08-05.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: 75 FR 43731

Number of Respondents: 169

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 66 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	169	1	168
Annual IC Time Burden (Hours)	121	14	107
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
G-440, Report Specification Sheet (01-08)	G-440 (01-08).pdf	12/21/2010

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