Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 201901-1212-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
2018 CPF Instructions revised Aug 24 2018.docx	Instruction
Compare FY 2018 to FY 2019 CPF Instructions.pdf	Instruction

IC Title:

Payment of Premiums (29 CFR part 4007)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Instruction			Compare FY 2018 to FY 2019 CPF Instructions.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			2018 CPF Instructions revised Aug 24 2018.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23,700

Number of Respondents for Small Entity: 17,060

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	23,700	23,700
Annual IC Time Burden (Hours)	10,439	10,439
Annual IC Cost Burden (Dollars)	16,392,500	16,392,500

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.