View Information Collection (IC)

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
Form	1-C	Comprehensive Premium Filing	Draft of Primary My PAA Screens for Plan Year 2015 Premium Filings v4.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			2015 CPF booklet 2OMB.pdf		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,700	Number of Respondents for Small Entity: 15,500

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	25,700	0	0	0	0	25,700
Annual IC Time Burden (Hours)	8,000	0	0	0	0	8,000
Annual IC Cost Burden (Dollars)	53,200,000	0	0	0	0	53,200,000

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.