Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 202007-1212-001 · OMB 1212-0009 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
JustificationStmt.July2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-07-21 Available
Justification.d1.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-02-03 Available
2020 Supporting Statement 1212-0009.03.docx Supporting Statement A Uploaded 2019-10-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13518 Payment of Premiums (29 CFR part 4007) Other-Electonic Filing Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2022 12/31/2022 12/31/2022
31,245 0 31,245
13,540 0 13,540
21,621,540 0 21,621,540





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 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 31,245 31,245 0 0 0 0
Annual Time Burden (Hours) 13,540 13,540 0 0 0 0
Annual Cost Burden (Dollars) 21,621,540 21,621,540 0 0 0 0


Reginfo record details
  No