Information Collection

BA-6a Address Report (Internet)

IC 45669 under ICR 202601-3220-001 · OMB 3220-0005.

Documents and Forms

Document Name Document Type
Form BA-6a (Internet) ( BA-6a, BA-6 Address Report (Internet Equivalent) BA-6a Address Report (Internet) Form
BA-6a (Internet) ( BA-6a, BA-6 Address Report (Internet Equivalent) BA-6a Internet (01-08).pdf secure.rrb.gov/ERSNet/login.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	BA-6a Address Report (Internet)	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	BA-6a (Internet) (01-08)	BA-6a, BA-6 Address Report (Internet Equivalent)	BA-6a Internet (01-08).pdf	https://secure.rrb.gov/ERSNet/login.aspx	Yes	Yes	Fillable Fileable Signable

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: 500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	121	121
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.

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