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Railroad Separation Allowance or Severance Pay Report
Railroad Separation Allowance or Severance Pay Report
OMB: 3220-0173
IC ID: 33976
OMB.report
RRB
OMB 3220-0173
ICR 202111-3220-002
IC 33976
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0173 can be found here:
2024-11-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form BA-9 (10-15)
Railroad Separation Allowance or Severance Pay Report
Form and Instruction
BA-9 Instructions (Electronic Format).pdf
www.rrb.gov/sites/default/files/2017-06/RERI-App.%20I_Form%20BA-9.pdf
Instruction
BA-9 Instructions (Electronic Format).pdf
www.rrb.gov/sites/default/files/2017-06/RERI-App.%20I_Form%20BA-9.pdf
Instruction
BA-9 (10-15) Report of Separation Allowance or Severance Pay
Form BA-9 (10-15).pdf
www.rrb.gov/sites/default/files/2018-07/BA-9.pdf
Form and Instruction
BA-9 (10-15) Report of Separation Allowance or Severance Pay
Form BA-9 (10-15).pdf
www.rrb.gov/sites/default/files/2018-07/BA-9.pdf
Form and Instruction
BA-9 (secure E-mai Report of Separation Allowance or Severance Pay Report
Program Letter 2008-05 (secure E-mail and FTP).pdf
www.rrb.gov/sites/default/files/2018-03/PL%2008-05.pdf
Form and Instruction
BA-9 (secure E-mai Report of Separation Allowance or Severance Pay Report
Program Letter 2008-05 (secure E-mail and FTP).pdf
www.rrb.gov/sites/default/files/2018-03/PL%2008-05.pdf
Form and Instruction
BA-9 (Internet) (P Report of Separation Allowance or Severance Pay
ERSNet BA-9 Screens.docx
Form and Instruction
BA-9 (Internet) (P Report of Separation Allowance or Severance Pay
ERSNet BA-9 Screens.docx
Form and Instruction
Form BA-12 (09-19).pdf
Form BA-12
IC Document
Form BA-12 (09-19).pdf
Form BA-12
IC Document
PL 19-03.pdf
Program Letter 19-03
IC Document
PL 19-03.pdf
Program Letter 19-03
IC Document
PL 08-05.pdf
Program Letter - 08-05
IC Document
PL 08-05.pdf
Program Letter - 08-05
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Railroad Separation Allowance or Severance Pay Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
20 CFR 209.14
Information Collection Instruments:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
RRB-5; Master File of Railroad Employee's Creditable Compensation
FR Citation:
79 FR 58874
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
Documents for IC
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.