Information Collection

Railroad Separation Allowance or Severance Pay Report

IC 33976 under ICR 201012-3220-004 · OMB 3220-0173.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0173 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BA-9 (01-08) Railroad Separation Allowance or Severance Pay Report	Form and Instruction
BA-9 (01-08) Report of Separation Allowance or Severance Pay BA-9 (01-08).pdf www.rrb.gov/pdf/AandT/ba9.pdf	Form and Instruction
BA-9 (electronic e Report of Separation Allowance or Severance Pay BA-9 instructions (electronic equivalent).pdf www.rrb.gov/pdf/AandT/formats_ba9.pdf	Form and Instruction
BA-9 (secure E-mai Report of Separation Allowance or Severance Pay Report Program Letter 2008-05 (secure E-mail and FTP).pdf www.rrb.gov/pdf/AandT/pl08-05.pdf	Form and Instruction

IC Title:

Railroad Separation Allowance or Severance Pay Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.14

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-9 (01-08)	Report of Separation Allowance or Severance Pay	BA-9 (01-08).pdf	http://www.rrb.gov/pdf/AandT/ba9.pdf	Yes	No	Fillable Printable
Form and Instruction	BA-9 (electronic equivalents)	Report of Separation Allowance or Severance Pay	BA-9 instructions (electronic equivalent).pdf	http://www.rrb.gov/pdf/AandT/formats_ba9.pdf	Yes	No	Fillable Fileable
Form and Instruction	BA-9 (secure E-mail - File Transfer Protocol)	Report of Separation Allowance or Severance Pay Report	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-5; Master File of Railroad Employee's Creditable Compensation

FR Citation: 75 FR 43715

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 26 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	457	457
Annual IC Cost Burden (Dollars)	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.