Railroad Separation Allowance or Severance Pay Report

ICR 201012-3220-004

OMB: 3220-0173

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2010-12-21
Supplementary Document
2010-12-21
IC Document Collections
ICR Details
3220-0173 201012-3220-004
Historical Active 200709-3220-002
RRB
Railroad Separation Allowance or Severance Pay Report
Extension without change of a currently approved collection   No
Regular
Approved without change 02/14/2011
Retrieve Notice of Action (NOA) 12/23/2010
  Inventory as of this Action Requested Previously Approved
02/28/2014 36 Months From Approved 02/28/2011
360 0 360
457 0 457
0 0 0

Section 6 of the Railroad Retirement Act provides for a lump-sum payment to an employee or the employee's survivor equal to the Tier II taxes paid by the employee on a separation allowance or severance payment for which the employee did not receive credits toward retirement. The collection obtains information concerning the separation allowances and severance payments paid from railroad employers.

US Code: 45 USC 231f Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  75 FR 65388 10/22/2010
75 FR 80864 12/23/2010
No

1
IC Title Form No. Form Name
Railroad Separation Allowance or Severance Pay Report BA-9 (01-08), BA-9 (electronic equivalents), BA-9 (secure E-mail - File Transfer Protocol) Report of Separation Allowance or Severance Pay ,   Report of Separation Allowance or Severance Pay ,   Report of Separation Allowance or Severance Pay Report

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 360 360 0 0 0 0
Annual Time Burden (Hours) 457 457 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
No
No
No
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/23/2010


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