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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form BA-11 (electronic 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
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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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
Form	BA-11 (Internet) proposed	Report of Gross Earnings	BA-11(Internet) proposed.pdf	https://secure.rrb.gov/employer/login_screen.html	Yes	Yes	Fillable Fileable Signable
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

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 %

	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

Title	Document	Date Uploaded
G-440, Report Specification Sheet (01-08)	G-440 (01-08).pdf	12/21/2010
Proposed BA-11 program letter	proposed Program Letter 2011-XX.pdf	11/22/2011

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