Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 201209-1212-002 · OMB 1212-0009 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2013 SupStmt_Prem Filings_to OMB.091012.pdf Supporting Statement A Uploaded 2012-09-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13518 Payment of Premiums (29 CFR part 4007) Other-Screen shots Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 12/31/2013
29,900 0 34,300
8,200 0 9,015
54,387,000 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

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 29,900 34,300 0 0 -4,400 0
Annual Time Burden (Hours) 8,200 9,015 0 0 -815 0
Annual Cost Burden (Dollars) 54,387,000 59,960,000 0 0 -5,573,000 0


Reginfo record details
  No