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⚠️ Notice: This information collection may be referencing outdated material.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
2020 CPF instructions.docx Instruction
My PAA Entry Fields.docx Other-Electonic Filing

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
Instruction			2020 CPF instructions.docx		Yes	Yes	Fillable Fileable Signable
Other-Electonic Filing			My PAA Entry Fields.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31,245	Number of Respondents for Small Entity: 17,060

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	31,245	7,545	23,700
Annual IC Time Burden (Hours)	13,540	3,101	10,439
Annual IC Cost Burden (Dollars)	21,621,540	5,229,040	16,392,500

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.