Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 201209-1212-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2013 Form 1-C; 201 2013 Comprehensive Premium Filing; 2013 Estimated Flat-rate Premium Filing Payment of Premiums (29 CFR part 4007)	Form and Instruction
2013 My PAA rev SCREENS to OMB Sept 2012.pdf egov6.pbgc.gov/mypaa/	Other-Screen shots
2013 Form 1-C; 201 2013 Comprehensive Premium Filing; 2013 Estimated Flat-r 2013 rev Premium Instructions_to OMB_09.12.12.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
Other-Screen shots				https://egov6.pbgc.gov/mypaa/	Yes	Yes	Fillable Fileable Signable
Form and Instruction	2013 Form 1-C; 2013 Form 1-ES				Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24,600

Number of Respondents for Small Entity: 15,000

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,900	-4,400	34,300
Annual IC Time Burden (Hours)	8,200	-815	9,015
Annual IC Cost Burden (Dollars)	54,387,000	-5,573,000	59,960,000

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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