Information Collection Request
Payment of Premiums (29 CFR part 4007)
ICR 202504-1212-004 · OMB 1212-0009 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0009 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Premium Filing Payment of Premiums (29 CFR part 4007) |
Form | Modified | Missing upstream |
 1212-0009 Supporting Statement 2025.04.docx |
Supporting Statement A | Uploaded 2025-04-08 | Repair queued |
| Justification of non-material changes Premium Filing 2024.04.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-12-20 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13518 |  Payment of Premiums (29 CFR part 4007) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | PBGC |
| OMB Control No | 1212-0009 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202412-1212-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |