Payment of Premiums (29 CFR part 4007)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 2011 Form 1-C; 201 Payment of Premiums (29 CFR part 4007) Form and Instruction
My PAA premium e-filing 2011.pdf Other-Screen shots
2011 Form 1-C; 201 2011 Comprehensive Premium Filing; 2011 Estimated Flat-r 2011 premium filing instructions to OMB July 2010 modified Nov 2010.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2011 Form 1-C; 2011 Form 1-ES	2011 Comprehensive Premium Filing; 2011 Estimated Flat-rate Premium Filing	2011 premium filing instructions to OMB July 2010 modified Nov 2010.pdf		Yes	No	Paper Only
Other-Screen shots			My PAA premium e-filing 2011.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28,500	Number of Respondents for Small Entity: 18,100

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	34,300	0	34,300
Annual IC Time Burden (Hours)	9,015	16	8,999
Annual IC Cost Burden (Dollars)	59,960,000	12,923,395	47,036,605

Documents for IC

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.