Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 201609-1212-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1-C Payment of Premiums (29 CFR part 4007) Form and Instruction
1-C Comprehensive Premium Filing 2016 CPF booklet final to OMB.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1-C	Comprehensive Premium Filing	2016 CPF booklet final to OMB.pdf		Yes	Yes	Fillable Fileable Signable

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

Percentage of Respondents Reporting Electronically: 100 %

	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

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.