Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form Form 1 Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011) Form
2007 PPP.d7.cmp.2006.pdf Instruction
2007 EPPP.d7.cmp.2006.pdf Instruction
2008 EPPP instructions to OMB_11.30.07.pdf Instruction
Form 1 Annual Premium Payment 2007 Form 1 markup.v2.d1.pdf Form
Form 1-EZ Annual Premium Payment for Single-Employer Plans Exempt 2007 Form 1-EZ markup.v2.d1.pdf Form
Form 1-ES Estimated Premium Payment 2007 Form 1-ES markup.v2.d1.pdf Form
Schedule A Single-Employer Plan 2007 Sched A markup.v2.d1.pdf Form
2008 Form 1-ES Estimated Premium Payment 2008 PBGC Form 1-ES_Markup 11.29.07.pdf Form
2008 EPPP - Justification for Nonmaterial changes to OMB_11.30.07.pdf Justification for Nonmaterial / Nonsubstantive Change IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Payment of Premiums (29 CFR part 4007), Disclosure to Participants (29 CFR part 4011)	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 1	Annual Premium Payment	2007 Form 1 markup.v2.d1.pdf	Yes	No	Printable Only
Form	Form 1-EZ	Annual Premium Payment for Single-Employer Plans Exempt from the Variable-Rate Premium	2007 Form 1-EZ markup.v2.d1.pdf	Yes	No	Printable Only
Form	Form 1-ES	Estimated Premium Payment	2007 Form 1-ES markup.v2.d1.pdf	Yes	No	Printable Only
Form	Schedule A	Single-Employer Plan	2007 Sched A markup.v2.d1.pdf	Yes	No	Printable Only
Instruction			2007 PPP.d7.cmp.2006.pdf	Yes	No	Printable Only
Instruction			2007 EPPP.d7.cmp.2006.pdf	Yes	No	Printable Only
Instruction			2008 EPPP instructions to OMB_11.30.07.pdf	Yes	No	Printable Only
Form	2008 Form 1-ES	Estimated Premium Payment	2008 PBGC Form 1-ES_Markup 11.29.07.pdf	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28,900	Number of Respondents for Small Entity: 19,000

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	35,220	35,220
Annual IC Time Burden (Hours)	3,478	3,478
Annual IC Cost Burden (Dollars)	18,173,000	18,173,000

Documents for IC

Title	Document	Date Uploaded
Justification for Nonmaterial / Nonsubstantive Change	2008 EPPP - Justification for Nonmaterial changes to OMB_11.30.07.pdf	11/30/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.