Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 200910-1212-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2010 Form 1-C; 201 2010 Comprehensive Premium Filing; 2010 Estimated Flat-rate Premium Filing Payment of Premiums (29 CFR part 4007)	Form and Instruction
2010 Form 1-C; 201 2010 Comprehensive Premium Filing; 2010 Estimated Flat-r 2010 PREMIUM PAYMENT instructions to OMB October 2009.pdf	Form and Instruction

IC Title:

Payment of Premiums (29 CFR part 4007)

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2010 Form 1-C; 2010 Form 1-ES				No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,400

Number of Respondents for Small Entity: 19,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, 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	34,300	34,300
Annual IC Time Burden (Hours)	8,999	8,999
Annual IC Cost Burden (Dollars)	47,036,605	47,036,605

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.

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