Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 201006-1212-001 · OMB 1212-0009 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2010 Form 1-C; 201 Payment of Premiums (29 CFR part 4007) Form and Instruction Unchanged Available
No-change Stmt to OMB June 2010.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-06-07 Repair queued
Technical Update.2OMB.docx Supplementary Document Uploaded 2010-06-07 Available
2010 No-change Stmt to OMB_October 2009.pdf Justification for No Material/Nonsubstantive Change Uploaded 2009-10-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13518 Payment of Premiums (29 CFR part 4007) Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2011 02/28/2011 02/28/2011
34,300 0 34,300
8,999 0 8,999
47,036,605 0 47,036,605





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Payment of Premiums (29 CFR part 4007) 2010 Form 1-C; 2010 Form 1-ES 2010 Comprehensive Premium Filing; 2010 Estimated Flat-rate Premium Filing

table that charts list 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 34,300 34,300 0 0 0 0
Annual Time Burden (Hours) 8,999 8,999 0 0 0 0
Annual Cost Burden (Dollars) 47,036,605 47,036,605 0 0 0 0


Reginfo record details
  No