Information Collection Request

Payment of Premiums (29 CFR part 4007)

ICR 202610-1212-001 · OMB 1212-0009 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Premium Filing Premium Filing Wireframes Oct 2026 Form Modified Available
Form Premium Filing Premium Filing Screen Shots Form Modified Available
Justification of non-material changes_10-21-26.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-10-21 Available
Justification for nonmaterial change_2025 CPF Instructions_EO14247.02.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-01-07 Available
Justification of non-material changes_2026 CPF Instructions.02.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-11-24 Available
1212-0009 Supporting Statement 2025.06.docx Supporting Statement A Uploaded 2025-08-25 Available
Justification of non-material changes Premium Filing 2024.04.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13518 Payment of Premiums (29 CFR part 4007) Form ModifiedPremium Filing Wireframes Oct 2026
13518 Payment of Premiums (29 CFR part 4007) Form ModifiedPremium Filing Screen Shots
13518 Payment of Premiums (29 CFR part 4007) Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
09/30/2028 09/30/2028
29,288 29,288
12,691 12,691
20,267,296 20,267,296





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Payment of Premiums (29 CFR part 4007) Premium Filing, Premium Filing ,  

table that charts list of burden
  Total Request 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


Reginfo record details
  No