OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Railroad Separation Allowance or Severance Pay Report

OMB 3220-0173 · RRB.

OMB 3220-0173

Section 6 of the Railroad Retirement Act provides for a lump-sum payment to an employee or the employee's survivor equal to the Tier II taxes paid by the employee on a separation allowance or severance payment for which the employee did not receive credits toward retirement. The collection obtains information concerning the separation allowances and severance payments paid from railroad employers.

The latest form for Railroad Separation Allowance or Severance Pay Report expires 2028-04-30 and is listed under ICR 202411-3220-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form BA-9 (Internet) (P Report of Separation Allowance or Severance PayForm and Instruction
Form BA-9 (secure E-mai Report of Separation Allowance or Severance Pay ReportForm and Instruction
Form BA-9 (10-15) Report of Separation Allowance or Severance PayForm and Instruction
Form BA-9 (10-15) Railroad Separation Allowance or Severance Pay ReportForm and Instruction
3220-0173_Final.docxSupporting Statement A
3220-0173_Final.docxSupporting Statement A
Form G-440 (12-20).pdfSupplementary Document
Form G-440 (12-20).pdf Supplementary Document
Railroad Separation Allowance or Severance Pay Report Form and Instruction
Railroad Separation Allowance or Severance Pay Report Form and Instruction
Railroad Separation Allowance or Severance Pay Report Form and Instruction
Railroad Separation Allowance or Severance Pay Report Form and Instruction
Railroad Separation Allowance or Severance Pay Report Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202411-3220-007 Extension without change of a currently approved collection 2024-11-25
202111-3220-002 Revision of a currently approved collection 2021-12-01 Approved without change
201810-3220-002 Extension without change of a currently approved collection 2018-10-23 Approved without change
201508-3220-002 Revision of a currently approved collection 2015-08-31 Approved without change
201401-3220-005 Extension without change of a currently approved collection 2014-02-20 Approved without change
201012-3220-004 Extension without change of a currently approved collection 2010-12-23 Approved without change
200709-3220-002 Revision of a currently approved collection 2007-10-26 Approved without change
200503-3220-004 Revision of a currently approved collection 2005-03-30 Approved without change
200203-3220-001 Extension without change of a currently approved collection 2002-03-06 Approved without change
199903-3220-001 Extension without change of a currently approved collection 1999-03-02 Approved without change
199602-3220-002 Extension without change of a currently approved collection 1996-02-05 Approved without change
199509-3220-005 No material or nonsubstantive change to a currently approved collection 1995-09-30 Approved without change
199210-3220-002 Revision of a currently approved collection 1992-10-06 Approved without change
198911-3220-002 No material or nonsubstantive change to a currently approved collection 1989-11-30 Approved with change
198907-3220-002 New collection (Request for a new OMB Control Number) 1989-07-06 Approved without change