Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 201412-1212-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 1-C Payment of Premiums (29 CFR part 4007)	Form
2015 CPF booklet 2OMB.pdf	Instruction
1-C Comprehensive Premium Filing Draft of Primary My PAA Screens for Plan Year 2015 Premium Filings v4.pdf	Form

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
Form	1-C	Comprehensive Premium Filing	Draft of Primary My PAA Screens for Plan Year 2015 Premium Filings v4.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			2015 CPF booklet 2OMB.pdf		Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,700

Number of Respondents for Small Entity: 15,500

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	25,700	25,700
Annual IC Time Burden (Hours)	8,000	8,000
Annual IC Cost Burden (Dollars)	53,200,000	53,200,000

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.