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

Forms and Documents

Document Name	Status
Form Form 1 Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011) Form	Modified
2008 EPPP - Justification for Nonmaterial changes to OMB_11.30.07.pdf Justification for No Material/Nonsubstantive Change	2007-12-17
Justification.pdf Justification for No Material/Nonsubstantive Change	2006-11-13

IC Document Collections

IC ID	Document Title	Status
13518	Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011) Form	Modified

ICR Details

OMB Control No: 1212-0009	ICR Reference No: 200711-1212-010
Status: Historical Active	Previous ICR Reference No: 200611-1212-001
Agency/Subagency: PBGC	Agency Tracking No:
Title: Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/18/2007
	Date Received in OIRA: 11/30/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2008	04/30/2008	04/30/2008
Responses	35,220	0	35,220
Time Burden (Hours)	3,478	0	3,478
Cost Burden (Dollars)	18,173,000	0	18,173,000

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Abstract: Administrators of PBGC-insured pension plans file with PBGC premium information and premium payments required under 29 USC 1307 and 29 CFR Part 4007, which also requires retention and production of records necessary to support premium filings. The information identifies payers and lets PBGC verify premium computations and perform premium audits. The retained records facilitate audits. The certification of compliance with 29 USC 1311 and 29 CFR Part 4011 enables PBGC to verify compliance and select plans for audit where appropriate.

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Authorizing Statute(s): US Code: 29 USC 1302(b)(3), 1303(a),1306, 1307 Name of Law: ERISA
  

Citations for New Statutory Requirements: US Code: 29 USC 1306 Name of Law: Pension Protection Act of 2006

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)	2008 Form 1-ES, Form 1, Form 1-EZ, Form 1-ES, Schedule A	Annual Premium Payment ,   Annual Premium Payment for Single-Employer Plans Exempt from the Variable-Rate Premium ,   Estimated Premium Payment ,   Single-Employer Plan ,   Estimated Premium Payment

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	35,220	35,220	0	0	0	0
Annual Time Burden (Hours)	3,478	3,478	0	0	0	0
Annual Cost Burden (Dollars)	18,173,000	18,173,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/30/2007

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