View Information Collection (IC)

View Information Collection (IC)

IC Title:	Gross Earnings Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.13

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BA-11(01-08)	Report of Gross Earnings	BA-11 (01-08).pdf	http:www://rrb.gov/pdf/ba11.pdf	Yes	No	Printable Only
Form and Instruction	BA-11 (electronic equivalents)	Report of Gross Earnings (electronic equivalents)	Report of Gross Earnings for 2010 (12-2010).pdf		Yes	No	Fillable Fileable
Form and Instruction	BA-11 (secure E-mail and File Transfer Protocol)	Gross Earnings Report (secure E-mail and File Transfer Protocol)	Program Letter 2008-05 (secure E-mail and FTP).pdf	http://www.rrb.gov/pdf/AandT/pl08-05.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB 29, Railroad Employees' Cumulative Gross Earnings Master File	FR Citation: 75 FR 43731

Number of Respondents: 169	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 66 %

	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	169	0	0	1	0	168
Annual IC Time Burden (Hours)	121	0	0	14	0	107
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
G-440, Report Specification Sheet (01-08)	G-440 (01-08).pdf	12/21/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.