DC-1 (Internet) Employer's Quarterly Report of Contributions Under the R

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UNITED STATES OF AMERICA
RAILROAD RETIREMENT BOARD
Employer's Quarterly Report of contributions under
the Railroad Unemployment Insurance Act
This Report is Required By Law - 20 C.F.R. 345.5

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Address

f ~ h e c ~ ~ Order
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Employer Number

Check appropriate box for report statuslmethod of payment
Final Report

FORM APPROVED
O.M.B. NO.3220-0012
Calendar Quarter and Year

>PaperworkReduction Act Notice

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Electronic Form DC-I will be filed with:
CHIEF FINANCIAL OFFICER
U.S. RAILROAD RETIREMENT BOARD
844 N Rush Street, Chicago, Illinois 60611-2092
Month BA-4
Prepared

2. Compensation Adj.
Reported on Form BA-4

Year Adjusted Amount of Compensation Contribution Rate
subject to contribution
(b)
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Amount of Contribution Due
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4. Corrections to prior
Form DC-1

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8. Amount of Remittance
9. Preparer's Name

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l~obert~llin~

1 1312-7514310

I CERTIFY THAT I HAVE EXAMINED THIS REPORT, THAT IT IS MADE IN GOOD FAITH AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL ENTRIES MADE
HEREIN ARE TRUE AND CORRECT, AND IN ACCORDANCE WITH THE LAW AND REGULATIONS APPLICABLE HERETO. I UNDERSTAND THAT PROVIDING FALSE OR
FRAUDULENT INFORMATION OR FAILING TO PROVIDE REQUIRED INFORMATION IS A VIOLATION OF FEDERAL LAW PUNISHABLE BY FINE, IMPRISONMENT OR
BOTH.

RobertElling
FORM DC-l(4-03)

DESTROY PRIOR EDITIONS

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Submit-

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TITLE
DATE

312512009

INSTRUCTIONS
BODY

EMPLOYER'S CONTRIBUTIONS
AND CONTRIBUTION REPORTS

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Item 1 -Current reporting period. No entry required in columns (a) and
(b). Enter in column (c) the total compensation subject to contribution for the
Paperwork Reduction Act Notice. We ask for this information to carry current reporting period, in column (d ) the contribution rate indicated in the
out the provisi0Ils of the Railroad Unemployment h s ~ r a n c eAct. We need it annual notice and in column (e) the amount of contribution due,
to ensure that railroad employers are complying with the act and to allow us
to COmpUte and collect the correct amO~ntof contributions. YOU are required Item 2 -Compensation Adjustments. Enter in column (a) the month
to give us this information.
indicated of Form BA - 4 Report of Creditable Compensation Adjustments.
Enter in column (b) the calendar year which was adjusted by the Form BA (We think this form takes an average of 25 minutes Per response to 4 (a BA - 4 that adjusts more than 1 calendar year requires a separate line
complete, including the time for reviewing the instrudions, getting the for each year). Enter in column (c ) on the appropriate line the amount of the
needed data, and reviewing the completed form. Federal agencies may not net increase or decrease resulting from compensation adjustments
conduct or sponsor, and respondents are not required to respond to, a applicable to prior periods as reported on Form BA- 4 filed during the period
collection of information unless it displays a valid OMB number. If YOU wish, covered by the report, The entry is to be made in the space provided for the
send ~ m ~ m e nregarding
ts
the accuracy of our estimate or any other aspects period affected by the adjustment. Enter in column (d) the contribution rate
of this form, including suggestions for reducing completion time, to the Chief applicable (8.0%) for years from 1/111981through 1213111990; see section
of lnformation Resources Management, Railroad Retirement Board, 844 N. 345 of the RRFS regulation for years prior to 1981. Enter in column (e) the
Rush St., Chicago, IL 6061 1-2092. Please do not return this form to this amount of contributions due.
address.
General requirements.
. Every employer under the Railroad If any amount is a decrease, it should be noted by inserting the letter "D"
Unemplovment
Insurance Act is reauired to .pav a contribution eaual to a after the amount.
. percentage the
earned any
All
are Item 3 Total,
Enter the total of the compensation amounts shown for
notified annually of the contribution rate with Form ID-40r. Annual Notice to
and in column (c) and the total of the contribution amounts in
Employer - RUI Act. in October. The
compensation base is column (e). The total compensation reported on line 3 for the four quarters
established every November via a separate notice.
of each year should be the same as the total compensation reported of
forms BA-3a. Annual Report of Creditable compensation and BA-4 to the
Each
must file a rep0rt and pay Chief of Employee Senricenraining Center. If they do not agree, please
contributions for each calendar quarter in which compensation is earned by attach a statement that explains the reason(s) for the difference in total
one or more employees.
compensation reported here and separately reported to the Chief of
he report for each quarter must be filed and the contributions must be
Employee Servicenraining Center. The total compensation to be listed on
paid on or before the due date shown below:
this contribution report is to be derived form payrolls or other disbursement
documents for appropriate quarter.
QUARTER ENDED
DUE ON OR BEFORE
ltem 4 Correction t o prior Forms DC-1. Enter in this space
March 31
April 30
corrections, underpayments or overpayments of contribution not involving
June 30
July 31
BA-4 adjustments applicable to prior compensation reports. On line 1 in
September 30
October 31
column (a) enter the calendar quarter and year of the Form DC -1 which
December 31
January 31
requires correction. Enter in column (b) the calendar year adjusted. Entries
If the due date falls on Saturday, Sunday, or a national legal holiday, the in columns (c) through (e) should be the same information as indicated on
report must be filed and the payment made on or before the next following Form DC -1 to be corrected. Enter on line 2 in columns (c) through (e), the
business day. The report must be postmarked on or before the date on correct information. Additional corrections to Forms DC -1 should be
which the report is required to be filed. Payments by electronic medium documented on an attachment in the same format as the first correction.
must be effective on or before the date on which the DC -1 report is required On line 3 of columns (c) and (e) the net correction total is entered.
to be filed.
ltem 5 -Total. -Add columns (c) and (e) of item 3 and line 3 of item 4

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For failure to file a report on or before the date on which it is a" enter the
Penalties.
due, section 345 of the regulations provides a penalty of five to twenty-five
Interestlpenalties.
Indicate
the quarter and year
percent of the contribution, depending upon the duration of the delinquency, Items
of the Railroad applicable in item 6a. Enter the amount of interestlpenalties in item 6b.
unless the employer establishes to the
Retirement Board (RRB) that a reasonable cause exists for the delinquency.
Report Total. Enter the total amount of the remittance required
in
5e and 6b.
Interest.
If any contribution is not paid when due, interest will accrue by this report. Add the
thereon at the rate of one percent per month or fraction of a month from the
date on which it became due until it is paid. A fractional part of the month will Item 8 -Amount of Remittance. Enter in this space, in column (e), the
be treated the same as a fullmonth, e,a, a contribution postmarked one dav total amount remitted for this report. It should be the amOUIlt shown in item
* 7.
after the due date will be assessed a f u i month's interesi.
ltem 9 -The name of the individual preparing the form should be indicated
Every employer under the Railroad Unemployment Insurance as well as a telephone number at which he or she may be reached.
Records.
SIGNATURE
A d must keep accurate records containing sufficient information to enable
the RRB to determine whether -the contributions have been correctly
computed and paid. Such records shall be maintained for a period of at least Signature.
Each report must be signed by (1) the individual if the
five years after the date the contribution to which they relate becomes due employer is an individual, (2) the president, vice president, or other dul)
or the date the contribution is paid, whichever is later, and shall be open at authorized officer if the employer is a corporation, or (3) a responsible 01
all times to the inspection of the RRB or any of its officers or employees.
duly authorized member or officer having knowledge of its affairs, if the
employer is a partnership or other incorporated organization. The title of the
officer must be indicated as well as the date signed
FILLING IN FORM DC-1

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HEADING

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Heading.
Enter the employer number used in reporting compensation to
the RRB's Chief of Employee Servicenraining Center; enter the final date of
the period covered; enter in full the correct name and address of the
employer. If future reports are not required please check "FINAL REPORT".
Also check box to indicate method of payment.

Paperwork Reduction Act Notice

Page 1 of 1

Paperwork Reduction Act Notice
We ask for this information to carry out the provisions of the Railroad Unemployment Insurance Act. We need
it to ensure that railroad employers are complying with the act and to allow us to compute and collect the
correct amount of contributions. You are required to give us this information.
We think this form takes an average of 25 minutes per response to complete, including the time for reviewing
the instructions, getting the-needed data, and reviewing the completed form. Federal agencies may not conduct
or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid
OMB number. If you wish, send comments regarding the accuracy of our estimate or any other aspects of this
form, including suggestions for reducing completion time, to the Chief of Information Resources Management,
Railroad Retirement Board, 844 N. Rush St., Chicago, IL 6061 1-2092. Please do not return this form to this
address.

https://www.pay.gov/FormServer/RRl3kelp/Paperwork-Reduction-Act-Notice. html