Payment of Premiums (29 CFR part 4007)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Premium Filing Premium Filing Screen Shots	Form	Modified	Available
Form Premium Filing Payment of Premiums (29 CFR part 4007)	Form	Modified	Repair queued
Justification of non-material changes_2026 CPF Instructions.02.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-11-24	Available
Justification of non-material changes_2026 CPF Instructions.02.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-11-24	Repair queued
1212-0009 Supporting Statement 2025.06.docx	Supporting Statement A	Uploaded 2025-08-25	Repair queued
1212-0009 Supporting Statement 2025.06.docx	Supporting Statement A	Uploaded 2025-08-25	Repair queued
Justification of non-material changes Premium Filing 2024.04.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-20	Available
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

Information collection document groups

IC ID	Collection	Type	Status	Form
13518	Payment of Premiums (29 CFR part 4007)	Instruction	Modified
13518	Payment of Premiums (29 CFR part 4007)	Form	Modified	Premium Filing Screen Shots
13518	Payment of Premiums (29 CFR part 4007)	Form	Modified

ICR Details

OMB Control No: 1212-0009	ICR Reference No: 202511-1212-003
Status: Historical Active	Previous ICR Reference No: 202508-1212-004
Agency/Subagency: PBGC	Agency Tracking No:
Title: Payment of Premiums (29 CFR part 4007)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/24/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2028	09/30/2028	09/30/2028
Responses	29,288	0	29,288
Time Burden (Hours)	12,691	0	12,691
Cost Burden (Dollars)	20,267,296	0	20,267,296

---

Abstract: Administrators of PBGC-insured pension plans file with PBGC premium information and premium payments required under 29 USC 1307 and 29 CFR Part 4007, which also requires retention and production of records necessary to support premium filings. The information identifies payers and lets PBGC verify premium computations and perform premium audits. It also helps PBGC project premium income, improve financial projections, estimate its exposure if plans terminate, track movement of participants and assets, determine whether new plans are being created, and update its insured-plan inventory. The retained records facilitate audits.

---

Authorizing Statute(s): US Code: 29 USC 1302(b)(3), 1303(a),1306, 1307 Name of Law: ERISA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1212-AB51	Final or interim final rulemaking	90 FR 39320	08/15/2025

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Payment of Premiums (29 CFR part 4007)	Premium Filing	Premium Filing Screen Shots

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	29,288	29,288	0	0	0	0
Annual Time Burden (Hours)	12,691	12,691	0	0	0	0
Annual Cost Burden (Dollars)	20,267,296	20,267,296	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $8,750,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/24/2025

---