Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 201311-1212-001 · OMB 1212-0009 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
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Information collection document groups
IC IDCollectionTypeStatusForm
13518 Payment of Premiums (29 CFR part 4007) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2015 36 Months From Approved 10/31/2015
25,700 0 29,900
8,900 0 8,200
59,300,000 0 54,387,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Payment of Premiums (29 CFR part 4007)

table that charts list of burden
  Total Request 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 25,700 29,900 0 -4,200 0 0
Annual Time Burden (Hours) 8,900 8,200 0 -850 1,550 0
Annual Cost Burden (Dollars) 59,300,000 54,387,000 0 -5,652,500 10,565,500 0


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