Employer Reporting

Forms and Documents

Document Name	Status
Form G-88A.2 (04-05) Notice of Retirement and Request for Service Needed for Eligibility Form	New
Form G-88A.1 (02-05) Request for Verification of Last Date Carried on Payroll Form	New
Form BA-6a (E-mail) (pr BA-6a, Address Report (e-mail) Form and Instruction	New
Form BA-6a (INTERNET) BA-6 Address Report (Internet) Form and Instruction	New
Form Ba-6a (04-03) BA-6, Address Report Form and Instruction	New
Form AA-12 (xx-xx) Notice of Death and Statement of Compensation Form	New
C0005.doc Supporting Statement A	2006-10-24
BA-6a Electronic Instructions.pdf Supplementary Document	2006-10-24
Instructions.pdf Supplementary Document	2006-10-23
RRA Section 9. pdf.pdf Supplementary Document	2006-10-13
Form G-117a Current. pdf.pdf Supplementary Document	2006-10-13
Form BA-3a (07-03).pdf Supplementary Document	2006-10-13

IC Document Collections

IC ID	Document Title	Status
45674	Notice of Retirement and Request for Service Needed for Eligibility Form	New
45673	Request for Verification of Last Date Carried on Payroll Form	New
45671	BA-6a, Address Report (e-mail) Form and Instruction	New
45669	BA-6 Address Report (Internet) Form and Instruction	New
45668	BA-6, Address Report Form and Instruction	New
45663	Notice of Death and Statement of Compensation Form	New
33801	Employer Reporting	Removed

ICR Details

OMB Control No: 3220-0005	ICR Reference No: 200610-3220-001
Status: Historical Active	Previous ICR Reference No: 200307-3220-003
Agency/Subagency: RRB	Agency Tracking No:
Title: Employer Reporting
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/26/2007
	Date Received in OIRA: 10/25/2006
Terms of Clearance: This ICR is approved on the understanding that: 1) the security controls for email submissions of form BA-6a/BA-6 Address Report are in accordance with NIST guidance 800-53; 2) RRB will make any required formatting changes for greater ease of use; and 3) RRB will clarify on forms AA-12 and G-88A2 that "within 10 days" means "within 10 days of the date released by RRB."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	01/31/2007
Responses	1,958	0	3,418
Time Burden (Hours)	418	0	570
Cost Burden (Dollars)	0	0	0

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Abstract: 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 amounts of benefits paid.

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Authorizing Statute(s): US Code: 45 USC 356 Name of Law: Railroad Unemployment Insurance Act
   US Code: 45 USC 231f Name of Law: Railroad Retirement Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 27745	05/12/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 55523	09/22/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Employer Reporting	AA-12, G-88A.1, G.88A.2, BA-6A, BA-6A(INTERNET)
Notice of Retirement and Request for Service Needed for Eligibility	G-88A.2 (04-05), G-88a.2 (proposed)	Notice of Retirement and Request for Service Needed for Eligibility ,   Notice of Retirement and Request for Service Needed for Eligibility
Notice of Death and Statement of Compensation	AA-12 (xx-xx), AA-12 (09-03)	Notice of Death and Request for Service Needed for Eligibility ,   Notice of Death and Statement of Compensation
BA-6, Address Report	Ba-6a (04-03)	RRB Form BA-6a, BA-6 Address Report
BA-6a, Address Report (e-mail)	BA-6a (E-mail) (proposed)(new)	BA-6, Address Report
Request for Verification of Last Date Carried on Payroll	G-88A.1 (02-05)	Request for Verification of Last Date Carried on Payroll
BA-6 Address Report (Internet)	BA-6a (INTERNET)	BA-6a, Address Report (Internet Equivalent)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,958	3,418	0	-1,460	0	0
Annual Time Burden (Hours)	418	570	0	-152	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden changes for this information collection are due largely to the reduction in the estimated of responses (and associated burden hours) for Forms AA-12 and G-88a.2 and the change in burden associated with the proposed BA-6a e-mail option. for more details, please see item 12 and 15 in the supporting statement/

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/25/2006

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