Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 201412-1212-002 · OMB 1212-0009 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1-C Payment of Premiums (29 CFR part 4007) Form Modified Repair queued
2015 SptgStmt.d14.pdf Supporting Statement A Uploaded 2015-02-20 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2018 36 Months From Approved 04/30/2017
25,700 0 25,700
8,000 0 8,000
53,200,000 0 53,200,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Payment of Premiums (29 CFR part 4007) 1-C Comprehensive 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 25,700 25,700 0 0 0 0
Annual Time Burden (Hours) 8,000 8,000 0 0 0 0
Annual Cost Burden (Dollars) 53,200,000 53,200,000 0 0 0 0


Reginfo record details
  No