Payment of Premiums (29 CFR part 4007)

ICR 202508-1212-004

OMB: 1212-0009

Federal Form Document

Forms and Documents

Document Name	Status
Form Premium Filing Payment of Premiums (29 CFR part 4007) Form	Modified
1212-0009 Supporting Statement 2025.06.docx Supporting Statement A	2025-08-25
Justification of non-material changes Premium Filing 2024.04.docx Justification for No Material/Nonsubstantive Change	2024-12-20

IC Document Collections

IC ID	Document Title	Status
13518	Payment of Premiums (29 CFR part 4007) Form	Modified