Payment of Premiums (29 CFR part 4007)

⚠️ Notice: This information collection may be referencing outdated material.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 Premium Filing Payment of Premiums (29 CFR part 4007) Form
2021 CPF instructions.docx Instruction
2021 CPF instructions.docx Instruction
Premium Filing Premium Filing Screen Shots My PAA Data Entry Screens 2021.pdf Form
Premium Filing Premium Filing Screen Shots My PAA Data Entry Screens 2021.pdf Form

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	Premium Filing	Premium Filing Screen Shots	My PAA Data Entry Screens 2021.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			2021 CPF instructions.docx		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: 31,245	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	31,245	31,245
Annual IC Time Burden (Hours)	13,540	13,540
Annual IC Cost Burden (Dollars)	21,621,540	21,621,540

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.