Locating and Paying Participants

ICR 201008-1212-001

OMB: 1212-0055

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2010-08-09
IC Document Collections
IC ID
Document
Title
Status
13603 Modified
ICR Details
1212-0055 201008-1212-001
Historical Active 200807-1212-006
PBGC
Locating and Paying Participants
Revision of a currently approved collection   No
Regular
Approved without change 12/05/2010
Retrieve Notice of Action (NOA) 08/09/2010
  Inventory as of this Action Requested Previously Approved
12/31/2013 09/30/2011 09/30/2011
84,800 0 89,100
67,050 0 73,300
3,730 0 3,100

This collection consists of information participants and beneficiaries are asked to provide in connection with an application for benefits or request for a benefit estimate. In addition, in some instances, as part of a search for participants and beneficiaries who may be entitled to benefits, the PBGC requests individuals to provide identifying information that the individual would provide as part of an initial contact with the PBGC.

PL: Pub.L. 109 - 280 410 Name of Law: Pension Protection Act of 2006
   US Code: 29 USC 1322, 1350 Name of Law: Employee Retirement Security Act (ERISA)
  
PL: Pub.L. 109 - 280 410 Name of Law: Pension Protection Act of 2006

Not associated with rulemaking

  75 FR 30865 06/02/2010
75 FR 47857 08/09/2010
No

1
IC Title Form No. Form Name
Locating and Paying Participants 714, 703MP, 719, 710, 711, 706, 721, 700, 701, 708, 717, 705, 718, 722, 703, 702, 715, 713, 720MP, 720, 709, 707, 720CD, Form 716A, Form 712, Form 716, Form 704 Participant Application for Pension Benefits ,   Payee Information Form ,   General Information Form ,   Application for Elective Lump-Sum Payment ,   Application for Elective Lump-Sum Payment ,   Beneficiary Application for Pension Benefits ,   Beneficiary Application for Pension Benefits -- OF ,   Designation of Beneficiary for Benefits Owed at Death ,   Designation of Beneficiary ,   Plan Participation Information ,   Application for Electronic Direct Deposit ,   Change of Beneficiary for Certain & Continuous (C&C) Benefits Only ,   Application for Payment of Employee Contributions ,   Application for Payment of Employee Contributions -- Non-Spouse Beneficiary ,   Power of Attorney (POA) ,   Monthly Payment Election Form ,   Installment Payment Agreement ,   Election to Withhold Federal Income Tax from Periodic Payments ,   Application for Lump-Sum Payment ,   Application for Lump-Sum Payment ,   Application for Lum-Sum Payment ,   Application for Lump-Sum Payment -- Non-spouse Beneficiary or Estate ,   Financial Statement of Debtor ,   Request for Earnings Information ,   Certification of Social Security Disability Status ,   Uniformed Services Information Form ,   Certification of Pension Plan Disability Status

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 84,800 89,100 0 0 -4,300 0
Annual Time Burden (Hours) 67,050 73,300 0 0 -6,250 0
Annual Cost Burden (Dollars) 3,730 3,100 0 0 630 0
No
No

$6,863,600
No
No
No
No
No
Uncollected
Josephine Burns 2023264223 ext. 3072 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/09/2010


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