Railroad Separation Allowance or Severance Pay Report

Railroad Separation Allowance or Severance Pay Report

OMB: 3220-0173

IC ID: 33976

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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Information Collection (IC) Details

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Railroad Separation Allowance or Severance Pay Report
 
No Modified
 
Mandatory
 
20 CFR 209.14

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BA-9 (10-15) Report of Separation Allowance or Severance Pay Form BA-9 (10-15).pdf https://www.rrb.gov/sites/default/files/2018-07/BA-9.pdf Yes No Printable Only
Instruction BA-9 Instructions (Electronic Format).pdf https://www.rrb.gov/sites/default/files/2017-06/RERI-App.%20I_Form%20BA-9.pdf Yes No Printable Only
Form and Instruction BA-9 (secure E-mail - File Transfer Protocol) Report of Separation Allowance or Severance Pay Report Program Letter 2008-05 (secure E-mail and FTP).pdf https://www.rrb.gov/sites/default/files/2018-03/PL%2008-05.pdf Yes Yes Fillable Fileable
Form and Instruction BA-9 (Internet) (Proposed) Report of Separation Allowance or Severance Pay ERSNet BA-9 Screens.docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

RRB-5; Master File of Railroad Employee's Creditable Compensation  79 FR 58874

30 0
   
Private Sector Businesses or other for-profits
 
   72 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 360 0 0 0 0 360
Annual IC Time Burden (Hours) 239 0 -218 0 0 457
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form BA-12 Form BA-12 (09-19).pdf 11/30/2021
Program Letter 19-03 PL 19-03.pdf 11/30/2021
Program Letter - 08-05 PL 08-05.pdf 11/30/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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