BA-6a, BA-6 Address Report

Employer Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0005 can be found here:

Documents and Forms

Document Name Document Type
Form BA-6a (07-12) BA-6a, BA-6 Address Report Form and Instruction
BA-6a (07-12) BA-6a, BA-6 Address Report Form BA-6a (07-12).pdf www.rrb.gov/sites/default/files/2018-09/BA-6a%20%2809-18%29.pdf Form and Instruction
BA-6a (electronic BA-6a, BA-6 Address Report Form BA-6a Electronic Equivalents (12-18).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	BA-6a, BA-6 Address Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BA-6a (07-12)	BA-6a, BA-6 Address Report	Form BA-6a (07-12).pdf	https://www.rrb.gov/sites/default/files/2018-09/BA-6a%20%2809-18%29.pdf	Yes	No	Printable Only
Form and Instruction	BA-6a (electronic equivalents) (12-18)	BA-6a, BA-6 Address Report	Form BA-6a Electronic Equivalents (12-18).pdf		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement Survivor and Pensioner Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 579	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Previously Approved
Annual Number of Responses for this IC	344	344
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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