Information Collection

Gross Earnings Report

IC 33927 under ICR 201111-3220-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (electronic Report of Gross Earnings (electronic equivalents) Gross Earnings Report	Form and Instruction
Form BA-11(01-08) Report of Gross Earnings Gross Earnings Report	Form and Instruction
Form BA-11 (secure E-ma Gross Earnings Report (secure E-mail and File Transfer Protocol) Gross Earnings Report	Form and Instruction
Form BA-11 (Internet) p Report of Gross Earnings Gross Earnings Report	Form
BA-11(01-08) Report of Gross Earnings BA-11 (01-08).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
BA-11 (Internet) p Report of Gross Earnings BA-11(Internet) proposed.pdf secure.rrb.gov/employer/login_screen.html	Form
G-440 (01-08).pdf G-440, Report Specification Sheet (01-08)	IC Document
proposed Program Letter 2011-XX.pdf Proposed BA-11 program letter	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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BA-11(01-08)	http:www://rrb.gov/pdf/ba11.pdf	Yes	No	Printable Only
Form and Instruction	BA-11 (electronic equivalents)		Yes	No	Fillable Fileable
Form and Instruction	BA-11 (secure E-mail and File Transfer Protocol)	http://www.rrb.gov/pdf/AandT/pl08-05.pdf	Yes	Yes	Fillable Fileable
Form	BA-11 (Internet) proposed	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 29, Railroad Employees' Cumulative Gross Earnings Master File

FR Citation: 75 FR 43731

Number of Respondents: 377

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	377	208	169
Annual IC Time Burden (Hours)	173	52	121
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)		12/21/2010
Proposed BA-11 program letter		11/22/2011

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

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