Information Collection

BA-6a, BA-6 Address Report

IC 45668 under ICR 202209-3220-001 · OMB 3220-0005.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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 (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
BA-6a (electronic BA-6a, BA-6 Address Report Form BA-6a Electronic Equivalents (12-18).pdf	Form and Instruction

IC Title:

BA-6a, BA-6 Address Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.12

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.