Information Collection

Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)

IC 13518 under ICR 200611-1212-001 · OMB 1212-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 1-EZ Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)	Form
2007 PPP.d7.cmp.2006.pdf	Instruction
2007 EPPP.d7.cmp.2006.pdf	Instruction
Form 1 Annual Premium Payment 2007 Form 1 markup.v2.d1.pdf	Form
Form 1-EZ Annual Premium Payment for Single-Employer Plans Exempt 2007 Form 1-EZ markup.v2.d1.pdf	Form
Form 1-ES Estimated Premium Payment 2007 Form 1-ES markup.v2.d1.pdf	Form
Schedule A Single-Employer Plan 2007 Sched A markup.v2.d1.pdf	Form

IC Title:

Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4007

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 1-EZ	Annual Premium Payment for Single-Employer Plans Exempt from the Variable-Rate Premium	2007 Form 1-EZ markup.v2.d1.pdf	Yes	No	Printable Only
Form	Form 1-ES	Estimated Premium Payment	2007 Form 1-ES markup.v2.d1.pdf	Yes	No	Printable Only
Form	Schedule A	Single-Employer Plan	2007 Sched A markup.v2.d1.pdf	Yes	No	Printable Only
Instruction			2007 EPPP.d7.cmp.2006.pdf	Yes	No	Printable Only
Form	Form 1	Annual Premium Payment	2007 Form 1 markup.v2.d1.pdf	Yes	No	Printable Only
Instruction			2007 PPP.d7.cmp.2006.pdf	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,900

Number of Respondents for Small Entity: 19,000

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	35,220	35,220
Annual IC Time Burden (Hours)	3,478	3,478
Annual IC Cost Burden (Dollars)	18,173,000	18,173,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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