A ball screw spline with reduced size and weight includes: a shaft formed in such a manner that a helical ball screw groove and a straight ball spline groove intersect each other; a ball screw nut having a helical ball screw groove facing the ball screw groove in the shaft, the ball screw nut being configured to allow recirculating a screw ball fitting in the ball screw groove in the shaft; and a ball spline outer race having a straight ball spline groove facing the ball spline groove in the shaft, the ball spline outer race being configured to allow recirculating a spline ball fitting in the ball spline groove in the shaft. The ball screw groove in the shaft is made as deep as or deeper than the ball spline groove in the shaft, and the screw ball is made smaller in diameter than the spline ball.