Information Collection

Locating and Paying Participants

IC 13603 under ICR 200611-1212-009 · OMB 1212-0055.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0055 can be found here:

2025-11-24 - No material or nonsubstantive change to a currently approved collection
2025-04-10 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 703 Locating and Paying Participants	Form and Instruction
MyPBA_Generate_Estimate_Screens.pdf	Other-Screen print
MyPBA_Apply_Benefits_Declare_Estimate.pdf	Other-Screen print
MyPBA_Apply_Benefits_Marriage_Info.pdf	Other-Screen print
MyPBA 2 0 Wireframes OMB partial.pdf	Other-Screen print
700 Application for Benefits 700.doc	Form and Instruction
701 Payee Information Form 701.doc	Form and Instruction
703 Application for Elective Lump Sum 703.doc	Form and Instruction
705 Beneficiary Application for Pension Benefits 705.doc	Form and Instruction
706 Beneficiary Application for Pension Benefits -- OF 706.doc	Form and Instruction
707 Designation of Beneficiary 707.doc	Form and Instruction
708 Designation of Beneficiary (Not currently receiving bene 708.doc	Form and Instruction
709 Plan Participant Information 709.doc	Form and Instruction
710 Application for Electronic Direct Deposit 710.doc	Form and Instruction
713 Return of Employee Contributions, Participant 713.doc	Form and Instruction
714 Surviving Spouse Election for Return of Participant Cont 714.doc	Form and Instruction
715 Power of Attorney 715.doc	Form and Instruction
719 Election to Withhold Federal Income Tax from Periodic Pa 719.doc	Form and Instruction
720 Application for Lump Sum Payment 720.doc	Form and Instruction
721 Estate or Non-Spouse Beneficiary Application for Taxable 721.doc	Form and Instruction
702 General Information Form 702.doc	Form and Instruction
717 Monthly Payment Election Form 717.doc	Form and Instruction
718 Installment Repayment Agreement 718.doc	Form and Instruction
722 Financial Statement of Debtor 722.doc	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Locating and Paying Participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	703	Application for Elective Lump Sum	703.doc	No		Paper Only
Form and Instruction	701	Payee Information Form	701.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	719	Election to Withhold Federal Income Tax from Periodic Payments	719.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	715	Power of Attorney	715.doc	Yes	No	Printable Only
Form and Instruction	702	General Information Form	702.doc	No		Paper Only
Form and Instruction	717	Monthly Payment Election Form	717.doc	No		Paper Only
Form and Instruction	722	Financial Statement of Debtor	722.doc	No		Paper Only
Form and Instruction	720	Application for Lump Sum Payment	720.doc	No		Paper Only
Form and Instruction	721	Estate or Non-Spouse Beneficiary Application for Taxable Single Payment	721.doc	No		Paper Only
Form and Instruction	710	Application for Electronic Direct Deposit	710.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	718	Installment Repayment Agreement	718.doc	No		Paper Only
Form and Instruction	705	Beneficiary Application for Pension Benefits	705.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	706	Beneficiary Application for Pension Benefits -- OF	706.doc	Yes	Yes	Fillable Fileable Signable
Other-Screen print			MyPBA 2 0 Wireframes OMB partial.pdf	Yes	Yes	Fillable Fileable Signable
Other-Screen print			MyPBA_Apply_Benefits_Marriage_Info.pdf	Yes	Yes	Fillable Fileable Signable
Other-Screen print			MyPBA_Generate_Estimate_Screens.pdf	Yes	Yes	Fillable Fileable Signable
Other-Screen print			MyPBA_Apply_Benefits_Declare_Estimate.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	700	Application for Benefits	700.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	708	Designation of Beneficiary (Not currently receiving benefits)	708.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	713	Return of Employee Contributions, Participant	713.doc	No		Paper Only
Form and Instruction	707	Designation of Beneficiary	707.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	709	Plan Participant Information	709.doc	No		Paper Only
Form and Instruction	714	Surviving Spouse Election for Return of Participant Contributions	714.doc	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 225,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	225,600	225,600
Annual IC Time Burden (Hours)	118,475	118,475
Annual IC Cost Burden (Dollars)	78,000	78,000

Documents for IC

table that charts IC Documents
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.