Payment of Premiums (29 CFR part 4007)
ICR 202210-1212-002
OMB: 1212-0009
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0009 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form |
Modified |
Form |
Modified |
Justification for No Material/Nonsubstantive Change | 2022-10-27 |
Justification for No Material/Nonsubstantive Change | 2022-10-27 |
Justification for No Material/Nonsubstantive Change | 2021-12-16 |
Justification for No Material/Nonsubstantive Change | 2021-12-16 |
Supporting Statement A | 2020-12-23 |
Supporting Statement A | 2020-12-23 |
Form Premium Filing Payment of Premiums (29 CFR part 4007)
Justification of non-material changes Premium Filing 2023.01.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 13518 | Modified | ||
| 13518 | Modified |
Payment of Premiums (29 CFR part 4007)ICR Details
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