Employer Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form G-88A.2 (01-19) G-88a.2 Notice of Retirement and Request for Service Needed for Eligibility	Form	Modified	Available
Form G-88A.1 (09-18) G-88a.1 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	Modified	Available
Form BA-6a (Internet) ( BA-6a Address Report (Internet)	Form	Modified	Available
Form BA-6a (07-12) BA-6a, BA-6 Address Report	Form and Instruction	Modified	Available
Form AA-12 (01-19) AA-12 Notice of Death and Statement of Compensation	Form	Modified	Available
Form BA-6a (File Transf BA-6a (File Transfer Protocol)	Form and Instruction	Modified	Available
Section 9 of the Railroad Retirement Act.pdf	Supplementary Document	Uploaded 2019-09-12	Available
Section 6 of the Railroad Unemployment Act.pdf	Supplementary Document	Uploaded 2019-09-12	Available
20 CFR 209.pdf	Supplementary Document	Uploaded 2019-09-12	Available
3220-0005.doc	Supporting Statement A	Uploaded 2019-04-30	Available
Memo to Request for Emergency Extension to Extend Expiration Date.pdf	Supplementary Document	Uploaded 2019-04-30	Available
Form BA-6 (06-18).pdf	Supplementary Document	Uploaded 2019-02-25	Available
Form G-440 (09-18).pdf	Supplementary Document	Uploaded 2019-02-25	Available
Form G-117a (10-13).pdf	Supplementary Document	Uploaded 2016-03-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45674	G-88a.2 Notice of Retirement and Request for Service Needed for Eligibility	Form	Modified
45673	G-88a.1 Request for Verification of Last Date Carried on Payroll	Form	Modified
45671	BA-6a, Address Report (E-mail)	Form and Instruction	Modified
45669	BA-6a Address Report (Internet)	Form	Modified
45668	BA-6a, BA-6 Address Report	Form and Instruction	Modified
45663	AA-12 Notice of Death and Statement of Compensation	Form	Modified
182467	BA-6a (File Transfer Protocol)	Form and Instruction	Modified

ICR Details

OMB Control No: 3220-0005	ICR Reference No: 201902-3220-001
Status: Active	Previous ICR Reference No: 201603-3220-003
Agency/Subagency: RRB	Agency Tracking No:
Title: Employer Reporting
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/12/2019
	Date Received in OIRA: 04/30/2019
Terms of Clearance: Upon resubmission, the agency will assess whether parts of this collection can be streamlined or eliminated.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved	09/30/2019
Responses	2,748	0	2,748
Time Burden (Hours)	438	0	438
Cost Burden (Dollars)	0	0	0

---

Abstract: Under the Railroad Retirement Act and the Railroad Unemployment Insurance Act, railroad employers are required to report service and compensation for employees needed to determine eligibility to and the amounts of benefits paid.

---

Authorizing Statute(s): US Code: 45 USC 356 Name of Law: Railroad Unemployment Insurance Act
   US Code: 45 USC 231f Name of Law: Railroad Retirement Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 5734	02/22/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 18095	04/29/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
G-88a.2 Notice of Retirement and Request for Service Needed for Eligibility	G-88A.2 (01-19), G-88a.2 (Internet) (03-13)	Notice of Retirement and Request for Service Needed for Eligibility ,   Notice of Retirement and Request for Service Needed for Eligibility
AA-12 Notice of Death and Statement of Compensation	AA-12 (01-19)	Notice of Death and Request for Service Needed for Eligibility
BA-6a, BA-6 Address Report	BA-6a (07-12), BA-6a (electronic equivalents) (12-18)	BA-6a, BA-6 Address Report ,   BA-6a, BA-6 Address Report
BA-6a, Address Report (E-mail)	BA-6a (E-mail)	BA-6a, BA-6 Address Report
G-88a.1 Request for Verification of Last Date Carried on Payroll	G-88A.1 (09-18), G-88A.1 (Internet) (03-13)	Request for Verification of Date Last Worked ,   Notice of Retirement and Verification of Date Last Worked
BA-6a Address Report (Internet)	BA-6a (Internet) (01-08)	BA-6a, BA-6 Address Report (Internet Equivalent)
BA-6a (File Transfer Protocol)	BA-6a (File Transfer Protocol)	BA-6a, BA-6 Address Report

---

ICR Summary of Burden

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	438	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/30/2019

---