Payment of Premiums (29 CFR part 4007)

Payment of Premiums (29 CFR part 4007)

OMB: 1212-0009

IC ID: 13518

Documents and Forms
Document Name
Document Type
Form
Form
Instruction
Instruction
Form
Form
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 Front End Screens_2024 Version with Non Filing Page Wireframes_110123.pdf Yes Yes Fillable Fileable Signable
Instruction 2026 CPF Instructions_Clean 8.25.25.docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

29,288 22,564
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 29,288 0 -2,015 0 0 31,303
Annual IC Time Burden (Hours) 12,691 0 -874 0 0 13,565
Annual IC Cost Burden (Dollars) 20,267,296 0 -1,394,380 0 0 21,661,676

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