Payment of Premiums (29 CFR part 4007)

⚠️ Notice: This information collection may be referencing outdated material.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
2013 My PAA rev SCREENS to OMB Sept 2012.pdf egov6.pbgc.gov/mypaa/ Other-Screen shots
2013 Form 1-C; 201 2013 Comprehensive Premium Filing; 2013 Estimated Flat-r 2013 rev Premium Instructions_to OMB_09.12.12.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen shots			2013 My PAA rev SCREENS to OMB Sept 2012.pdf	https://egov6.pbgc.gov/mypaa/	Yes	Yes	Fillable Fileable Signable
Form and Instruction	2013 Form 1-C; 2013 Form 1-ES	2013 Comprehensive Premium Filing; 2013 Estimated Flat-rate Premium Filing	2013 rev Premium Instructions_to OMB_09.12.12.pdf		Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,600	Number of Respondents for Small Entity: 15,000

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,900	-4,400	34,300
Annual IC Time Burden (Hours)	8,200	-815	9,015
Annual IC Cost Burden (Dollars)	54,387,000	-5,573,000	59,960,000

Documents for IC

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.