Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 201007-1212-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2011 Form 1-C; 201 2011 Comprehensive Premium Filing; 2011 Estimated Flat-rate Premium Filing 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

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	2011 Form 1-C; 2011 Form 1-ES				Yes	No	Paper Only
Other-Screen shots					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 %

table that charts list of burden
	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

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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