OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Employer Reporting

OMB 3220-0005 ยท RRB.

OMB 3220-0005

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.

The latest form for Employer Reporting expires 2029-05-31 and is listed under ICR 202601-3220-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form G-88a.2 (Internet) Notice of Retirement and Request for Service Needed for EligibilityForm and Instruction
Form G-88A.2 (01-19) Notice of Retirement and Request for Service Needed for EligibilityForm
Form G-88A.1 (Internet) Notice of Retirement and Verification of Date Last WorkedForm and Instruction
Form G-88A.1 (09-18) Request for Verification of Date Last WorkedForm
Form BA-6a (E-mail) BA-6a, BA-6 Address ReportForm and Instruction
Form BA-6a (Internet) ( BA-6a, BA-6 Address Report (Internet Equivalent)Form
Form BA-6a (07-12) BA-6a, BA-6 Address ReportForm and Instruction
Form AA-12 (01-19) Notice of Death and Request for Service Needed for EligibilityForm
Form BA-6a (File Transf BA-6a, BA-6 Address ReportForm and Instruction
3220-0005_Final.docxSupporting Statement A
Section 9 of the Railroad Retirement Act.pdfSupplementary Document
Section 6 of the Railroad Unemployment Act.pdfSupplementary Document
20 CFR 209.pdfSupplementary Document
Form BA-6 (06-18).pdfSupplementary Document
Form G-440 (12-20).pdfSupplementary Document
Form G-117a (10-13).pdfSupplementary Document
G-88a.2 Notice of Retirement and Request for Service Needed for Eligibility Form and Instruction
G-88a.2 Notice of Retirement and Request for Service Needed for Eligibility Form
G-88a.1 Request for Verification of Last Date Carried on Payroll Form and Instruction
G-88a.1 Request for Verification of Last Date Carried on Payroll Form
BA-6a, Address Report (Electronic Equivalents) Form and Instruction
BA-6a Address Report (Internet) Form
BA-6a, BA-6 Address Report Form and Instruction
AA-12 Notice of Death and Statement of Compensation Form
BA-6a (File Transfer Protocol) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-3220-001 Revision of a currently approved collection 2026-01-27
202209-3220-001 Extension without change of a currently approved collection 2022-09-21 Approved without change
201902-3220-001 Revision of a currently approved collection 2019-04-30 Approved without change
201603-3220-003 Extension without change of a currently approved collection 2016-03-22 Approved without change
201301-3220-002 Revision of a currently approved collection 2013-02-05 Approved without change
201012-3220-001 Extension without change of a currently approved collection 2010-12-29 Approved without change
200709-3220-003 Revision of a currently approved collection 2007-10-26 Approved without change
200610-3220-001 Revision of a currently approved collection 2006-10-25 Approved with change
200307-3220-003 Revision of a currently approved collection 2003-07-31 Approved without change
200106-3220-002 Revision of a currently approved collection 2001-06-22 Approved without change
200104-3220-001 Revision of a currently approved collection 2001-04-20 Approved without change
200009-3220-002 Revision of a currently approved collection 2000-09-21 Approved without change
199710-3220-002 Extension without change of a currently approved collection 1997-10-21 Approved without change
199409-3220-002 Revision of a currently approved collection 1994-09-30 Approved without change
199105-3220-003 Revision of a currently approved collection 1991-05-31 Approved without change
198805-3220-002 Revision of a currently approved collection 1988-05-09 Approved without change
198711-3220-002 Extension without change of a currently approved collection 1987-11-30 Approved without change
198603-3220-004 Revision of a currently approved collection 1986-03-31 Approved without change
198501-3220-003 Revision of a currently approved collection 1985-01-22 Approved without change
198112-3220-003 Revision of a currently approved collection 1981-12-29 Approved without change
198106-3220-009 No material or nonsubstantive change to a currently approved collection 1981-06-23 Approved with change
198106-3220-002 No material or nonsubstantive change to a currently approved collection 1981-06-10 Approved with change
198105-3220-045 No material or nonsubstantive change to a currently approved collection 1981-05-29 Approved with change
198104-3220-004 No material or nonsubstantive change to a currently approved collection 1981-04-24 Approved with change
198004-3220-003 Extension without change of a currently approved collection 1980-04-02 Approved without change
197903-3220-011 Revision of a currently approved collection 1979-03-13 Approved without change
197508-3220-005 Extension without change of a currently approved collection 1975-08-19 Approved without change

OMB Details

AA-12 Notice of Death and Statement of Compensation

Federal Enterprise Architecture: Income Security - Survivor Compensation

Information collection instruments
FormNameElectronic accessType
Form AA-12 (01-19)Notice of Death and Request for Service Needed for Eligibilitywww.rrb.gov/sites/default/files/2019-01/AA-12%20(01-19).pdfForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.