Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Payment of Premiums (29 CFR part 4007) Modified 34300 9015 59960000 Form and Instruction 2012 Form 1-C; 2012 Form 1-ES 2012 Comprehensive Premium Filing; 2012 Estimated Flat-rate Premium Filing
Other-Screen shots
Total burden requested under this ICR: 34300 9015 59960000  
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