Payment of Premiums (29 CFR part 4007)

OMB 1212-0009

Administrators of PBGC-insured pension plans file with PBGC premium information and premium payments required under 29 USC 1307 and 29 CFR Part 4007, which also requires retention and production of records necessary to support premium filings. The information identifies payers and lets PBGC verify premium computations and perform premium audits. It also helps PBGC project premium income, improve financial projections, estimate its exposure if plans terminate, track movement of participants and assets, determine whether new plans are being created, and update its insured-plan inventory. The retained records facilitate audits.

The latest form for Payment of Premiums (29 CFR part 4007) expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Premium Filing Payment of Premiums (29 CFR part 4007) Form
2024 (material) 1212-0009 Supporting Statement.04.docx Supporting Statement A
Payment of Premiums (29 CFR part 4007) Form

All Historical Document Collections

202311-1212-001 Approved without change	Extension without change of a currently approved collection	2023-11-06
202210-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-10-27
202112-1212-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-12-16
202012-1212-003	Revision of a currently approved collection	2020-12-23
202007-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-07-21
202001-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-02-04
201910-1212-005 Approved without change	Revision of a currently approved collection	2019-10-30
201901-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-01-09
201811-1212-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-11-26
201811-1212-002 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2018-11-20
201808-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-08-24
201801-1212-001 Approved with change	Extension without change of a currently approved collection	2018-03-30
201711-1212-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-11-17
201611-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-11-07
201609-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-10-04
201510-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-11-16
201412-1212-002 Approved with change	Revision of a currently approved collection	2015-01-12
201402-1212-011 Approved without change	Revision of a currently approved collection	2014-03-11
201402-1212-010 Approved without change	Revision of a currently approved collection	2014-02-06
201311-1212-001 Preapproved	Revision of a currently approved collection	2013-11-21
201304-1212-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2013-07-23
201209-1212-002 Approved without change	Revision of a currently approved collection	2012-09-12
201205-1212-001 Withdrawn and continue	Revision of a currently approved collection	2012-05-10
201105-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-06-15
201007-1212-001 Approved with change	Revision of a currently approved collection	2010-07-27
201006-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-06-07
200910-1212-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-10-26
200906-1212-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2009-06-02
200809-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-09-23
200712-1212-006 Approved without change	Revision of a currently approved collection	2007-12-20
200711-1212-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-11-30
200706-1212-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2007-06-08
200611-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-11-16
200503-1212-002 Approved without change	Revision of a currently approved collection	2005-03-04
200310-1212-002 Approved with change	Extension without change of a currently approved collection	2003-10-22
200112-1212-002 Approved without change	Revision of a currently approved collection	2001-12-07
200101-1212-001 Approved without change	Revision of a currently approved collection	2001-01-11
200010-1212-001 Approved without change	Extension without change of a currently approved collection	2000-10-23
199710-1212-001 Approved without change	Extension without change of a currently approved collection	1997-10-17
199706-1212-001 Approved without change	Revision of a currently approved collection	1997-06-06
199612-1212-001 Approved without change	Revision of a currently approved collection	1996-12-17
199605-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-05-17
199603-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-03-08
199509-1212-004 Approved without change	Revision of a currently approved collection	1995-09-18
199502-1212-003 Approved without change	Extension without change of a currently approved collection	1995-02-23
199412-1212-002 Approved without change	Revision of a currently approved collection	1994-12-20
199406-1212-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1994-06-29
199210-1212-002 Approved without change	Revision of a currently approved collection	1992-10-30
199005-1212-001 Approved without change	Revision of a currently approved collection	1990-05-10
198906-1212-002 Approved without change	Revision of a currently approved collection	1989-06-19
198805-1212-001 Approved without change	Revision of a currently approved collection	1988-05-16
198801-1212-001 Approved without change	Revision of a currently approved collection	1988-01-14
198710-1212-001 Approved without change	Revision of a currently approved collection	1987-10-15
198608-1212-001 Approved without change	Revision of a currently approved collection	1986-08-06
198604-1212-001 Approved without change	Revision of a currently approved collection	1986-04-02
198503-1212-001 Approved without change	Revision of a currently approved collection	1985-03-01
198411-1212-001 Approved without change	Revision of a currently approved collection	1984-11-26
198112-1212-001 Approved without change	Revision of a currently approved collection	1981-12-24
198004-1212-001 Approved without change	Revision of a currently approved collection	1980-04-22
197901-1212-001 Approved without change	Extension without change of a currently approved collection	1979-01-08
197803-1212-001 Approved without change	Revision of a currently approved collection	1978-03-28
197606-1212-001 Approved without change	Revision of a currently approved collection	1976-06-15
197601-1212-001 Approved without change	New collection (Request for a new OMB Control Number)	1976-01-22