Information Collection

Gross Earnings Report

IC 33927 under ICR 201804-3220-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (Internet) Gross Earnings Report Form
BA-11 Gross Earnings Report (Secure E-mail & File Transfer Pro Program Letter 2008-05 (Secure E-mail & FTP).pdf www.rrb.gov/pdf/AandT/pl08-05.pdf Form and Instruction
BA-11 (Internet) Report of Gross Earnings Form BA-11 Internet (01-12).pdf secure.rrb.gov/ERSNet/login.aspx Form
BA-11 (Electronic Report of Gross Earnings Circular (Electronic Equivalent Report of Gross Earnings Circular for 2017.pdf Form and Instruction
Form G-440 (01-12).pdf G-440, Report Specification Sheet (01-12) 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	BA-11 (Internet)	Report of Gross Earnings	Form BA-11 Internet (01-12).pdf	https://secure.rrb.gov/ERSNet/login.aspx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	BA-11 (Electronic Equivalents)	Report of Gross Earnings Circular (Electronic Equivalents)	Report of Gross Earnings Circular for 2017.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	BA-11	Gross Earnings Report (Secure E-mail & File Transfer Protocol)	Program Letter 2008-05 (Secure E-mail & 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 29, Railroad Employees' Cumulative Gross Earnings Master File	FR Citation: 79 FR 58894

Number of Respondents: 483	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	483	483
Annual IC Time Burden (Hours)	189	189
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
G-440, Report Specification Sheet (01-12)	Form G-440 (01-12).pdf	01/06/2015

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