Information Collection

Payment of Premiums (29 CFR part 4007)

IC 13518 under ICR 202508-1212-004 · OMB 1212-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Premium Filing Payment of Premiums (29 CFR part 4007)	Form
Form Premium Filing Premium Filing Screen Shots Payment of Premiums (29 CFR part 4007)	Form
2026 CPF Instructions_Clean 8.25.25.docx	Instruction
2026 CPF Instructions_Clean 8.25.25.docx	Instruction
Premium Filing Premium Filing Screen Shots My PAA Front End Screens_2024 Version with Non Filing Page Wireframes_110123.pdf	Form
Premium Filing Premium Filing Screen Shots My PAA Front End Screens_2024 Version with Non Filing Page Wireframes_110123.pdf	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Premium Filing				Yes	Yes	Fillable Fileable Signable
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 29,288

Number of Respondents for Small Entity: 22,564

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	29,288	-2,015	31,303
Annual IC Time Burden (Hours)	12,691	-874	13,565
Annual IC Cost Burden (Dollars)	20,267,296	-1,394,380	21,661,676

Documents for IC

table that charts IC Documents
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.

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