Information Collection Request

Employer Reporting

ICR 201301-3220-002 · OMB 3220-0005 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form G-88A.2 (10-10) Notice of Retirement and Request for Service Needed for Eligibility Form Modified Available
Form G-88A.1 (02-05) Request for Verification of Last Date Carried on Payroll Form Modified Available
Form BA-6a (E-mail) BA-6a, Address Report (e-mail) Form and Instruction Unchanged Available
Form BA-6a (Internet) ( BA-6a Address Report (Internet) Form Unchanged Available
Form BA-6a (01-08) BA-6a, BA-6 Address Report Form and Instruction Unchanged Available
Form AA-12 (10-10) Notice of Death and Statement of Compensation Form Unchanged Available
Form BA-6a (File Transf BA-6a (File Transfer Protocol) Form and Instruction Unchanged Repair queued
Draft Program Letter.pdf Supplementary Document Uploaded 2013-02-05 Available
3220-0005.doc Supporting Statement A Uploaded 2013-02-05 Available
BA-6 (08-08).pdf Supplementary Document Uploaded 2010-12-28 Available
Form G-440 (01-12).pdf Supplementary Document Uploaded 2013-02-05 Available
Form G-117a (07-12).pdf Supplementary Document Uploaded 2013-02-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
45674 Notice of Retirement and Request for Service Needed for Eligibility Form Modified
45673 Request for Verification of Last Date Carried on Payroll Form Modified
45671 BA-6a, Address Report (e-mail) Form and Instruction Unchanged
45669 BA-6a Address Report (Internet) Form Unchanged
45668 BA-6a, BA-6 Address Report Form and Instruction Unchanged
45663 Notice of Death and Statement of Compensation Form Unchanged
182467 BA-6a (File Transfer Protocol) Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2016 36 Months From Approved 02/28/2014
2,748 0 2,748
438 0 503
0 0 0





table that charts list of burden
  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 2,748 2,748 0 0 0 0
Annual Time Burden (Hours) 438 503 0 -65 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No