Payment of Premiums (29 CFR part 4007)

Payment of Premiums (29 CFR part 4007)

OMB: 1212-0009

IC ID: 13518

Information Collection (IC) Details

View Information Collection (IC)

Payment of Premiums (29 CFR part 4007)
 
No Modified
 
Mandatory
 
29 CFR 4007

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

Income Security General Retirement and Disability

 

31,245 17,060
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 31,245 0 0 0 0 31,245
Annual IC Time Burden (Hours) 13,540 0 0 0 0 13,540
Annual IC Cost Burden (Dollars) 21,621,540 0 0 0 0 21,621,540

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