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The information contained in this report, which is required by law under Section
9 of the Railroad Retirement Act (RRA) and Section 6 of the Railroad
Unemployment Insurance Act (RUIA), is needed to adjust compensation and service
creditable under the RRA and RUIA and is authorized for collection under OMB
control number 3220-0008. Failure to report or the making of a false or
fraudulent report can result in criminal prosecution or civil penalties, or
both.
We estimate the electronic version of this form, transmitted by e-mail or FTP,
takes an average of 1 hour per response to complete, including time for
reviewing the instructions, getting the needed data, and reviewing the completed
form.
This exhibit explains only magnetic media format. For information about the data
to be entered, refer to Part V, Chapter 4.
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Money Fields |
All money fields include two cent positions and no decimal
point. No fields should be signed. Fill out money fields with
zeros. |
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Numeric Fields
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Fill out all numeric fields with zeros to the left of the
significant digits. |
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Service and Compensation
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There should be no record which contains neither service or
compensation data. A record may contain only service months or
only compensation, but must contain one or the other.
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Totals Record
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Every magnetic media report should include a grand-totals record
at the end. The specific format is in the appendix. Optional
subtotal records may be included. |
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Header Labels |
Cartridges must have header labels in IBM
standard format. |
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Block Size |
Recommended block size is 3000 (factor 10). |
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Code Language |
Cartridges: EBCDIC encoded on 9 track 1/2
inch
CD ROM, floppy disk, and electronic files: Formatted ASCII text |
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1 |
Blank. |
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2-5 |
Four digit year being reported. |
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6 |
Code "4" for an increase adjustment. Code "M" for a decrease
adjustment. |
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7-10 |
Four-digit BA number assigned by the Railroad Retirement Board. |
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11-20 |
Blank Filler. |
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21-29 |
Employee's social security number. |
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30-49 |
First twenty (20) characters of the employee's surname. Spaces
in such names as McCarthy, St. Clair, De La Cross are
acceptable. |
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50-64 |
First fifteen (15) characters of the employee's first name. |
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65 |
Employee’s middle initial. |
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66-72 |
RUIA I ($$$$$¢¢) – Total compensation which is creditable under
the RUIA to qualify for benefits. This amount should not exceed
the RUIA I monthly maximum times 12. |
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73-74 |
Blank Filler. |
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75-81 |
RUIA II ($$$$$¢¢) – Total compensation which is creditable under
the RUIA to determine maximum benefits. This amount should not
exceed the RUIA II monthly maximum times 12. |
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82-83 |
Blank Filler. |
| 84-95 |
84-Jan
85-Feb
86-Mar
87-Apr
88-May
89-Jun
90-Jul
91-Aug
92-Sep
93-Oct
94-Nov
95-Dec
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Service Month Detail. The employment relation codes for
non-worked months that are available on the BA-3 annual report,
cannot be submitted on this adjustment report. Only use the
following codes:
1 = worked
0 = not worked and employment relation is unknown.
All 12 positions must be filled. |
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96-97 |
Service Month Total. The sum of the characters in positions
84-95. Enter zeroes if no months are reported. |
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98-105 |
Creditable Tier I compensation, up to the annual maximum for the
year. ($$$$$$¢¢) |
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106-107 |
Blank Filler. |
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108-115 |
Creditable Tier II compensation, up to the annual maximum for
the year. ($$$$$$¢¢) |
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116-117 |
Blank Filler. |
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118-122 |
Last daily pay rate. ($$$¢¢) If pay rate exceeds $200.00, enter
20000. |
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123-124 |
Blank Filler. |
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125-132 |
Creditable Miscellaneous compensation. ($$$$$$¢¢) |
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133-134 |
Blank Filler. |
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135-142 |
Creditable Sick Pay compensation. ($$$$$$¢¢) |
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143-200 |
Blank Filler. (For future expansion). |
Paperwork Reduction Act (PRA) Notice
Federal agencies may not conduct or sponsor, and respondents are not required to
respond to, any collection of information unless it displays a valid OMB number.
If you wish, send comments regarding the accuracy of our estimates or any other
aspect of these forms, including suggestions for reducing completion time, to
Chief of Information Services
U.S. Railroad Retirement Board
844 North Rush Street, 4th floor
Chicago, IL 60611-2092
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