Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 201205-1212-001 · OMB 1212-0009 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2013 Form 1-C; 201 Payment of Premiums (29 CFR part 4007) Form and Instruction Modified Available
2013 SupStmt_Prem Filings_to OMB_05.09.12.pdf Supporting Statement A Uploaded 2012-05-08 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2013 36 Months From Approved 12/31/2013
34,300 0 34,300
9,015 0 9,015
59,960,000 0 59,960,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Payment of Premiums (29 CFR part 4007) 2013 Form 1-C; 2013 Form 1-ES 2013 Comprehensive Premium Filing; 2013 Estimated Flat-rate Premium Filing



Reginfo record details
  No