Information Collection

Locating and Paying Participants

IC 13603 under ICR 201209-1212-003 · OMB 1212-0055.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form Form 713
Locating and Paying Participants
Form and Instruction
Privacy Act Notices.xml Other-Privacy Notices
Special Tax Notice.docx Other-Tax Notice
PRA Notice 2012.docx.doc Other-Paperwork Reduction Act Notice
Modernized MyPBA Screen Mockups 2012-09-28.docx Other-Screen shots of MyPBA
Form 700 Participant Application for Pension Benefits
e_Form700 revised.docx
Form and Instruction
Form 701 Payee Information Form
e_Form701 revised.xml
Form and Instruction
Form 702 General Information Form
Form 702.xml
Form and Instruction
Form 703 Application for Elective Lump-Sum Payment
e_Form703 revised.docx
Form and Instruction
Form 703MP Application for Elective Lump-Sum Payment - Missing Part
e_Form703MP revised.xml
Form and Instruction
Form 704 Report for Earnings and Social Security Disability Infor
e_Form704 revised.docx
Form and Instruction
Form 705 Beneficiary Application for Pension Benefits
e_Form705 revised.docx
Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF
e_Form706 revised.xml
Form and Instruction
Form 707 Designation of Beneficiary for Benefits Owed at Death
e_Form707 revised.xml
Form and Instruction
Form 708 Designation of Beneficiary
e_Form708 revised.xml
Form and Instruction
Form 709 Plan Participation Information
e_Form709.xml
Form and Instruction
Form 710 Application for Electronic Direct Deposit
e_Form710 revised.xml
Form and Instruction
Form 711 Change of Beneficiary for Certain & Continuous (C&C) Ben
e_Form711 revised.xml
Form and Instruction
Form 712 Uniformed Services Information Form
Form 712.xml
Form and Instruction
Form 713 Election to Withdraw Employee Contributions
e_Form713 revised.docx
Form and Instruction
Form 714 Withdrawal of Employee Contributions – Non-Spouse Benefi
e_Form714 revised.xml
Form and Instruction
Form 715 Power of Attorney (POA)
Form 715.xml
Form and Instruction
Form 716 Certification of Social Security Disability Status
Form 716.xml
Form and Instruction
Form 716A Certification of Pension Plan Disability Status
Form 716A.xml
Form and Instruction
Form 718 Installment Payment Agreement
e_Form718 revised.docx
Form and Instruction
Form 719 Election to Withhold Federal Income Tax from Periodic Pa
e_Form719 revised.xml
Form and Instruction
Form 720 Application for Lump-Sum Payment
e_Form720 revised.docx
Form and Instruction
Form 720CD Application for Lump-Sum Payment
720CD.xml
Form and Instruction
Form 720MP Application for Lump-Sum Payment - Missing Participant
e_Form720MP revised.docx
Form and Instruction
Form 721 Application for Payment Eligible for Rollover – Non-Spou
e_Form721 revised.xml
Form and Instruction
Form 721T Tax Election for Single Payment Not Eligible for Rollove
e_Form721T new.docx
Form and Instruction
Form 722 Financial Statement of Debtor
Form 722.xml
Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form 713 Election to Withdraw Employee Contributions e_Form713 revised.docx No   Paper Only
Form and Instruction Form 714 Withdrawal of Employee Contributions – Non-Spouse Beneficiary e_Form714 revised.xml No   Paper Only
Form and Instruction Form 715 Power of Attorney (POA) Form 715.xml Yes No Printable Only
Form and Instruction Form 716 Certification of Social Security Disability Status Form 716.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 716A Certification of Pension Plan Disability Status Form 716A.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 718 Installment Payment Agreement e_Form718 revised.docx No   Paper Only
Form and Instruction Form 719 Election to Withhold Federal Income Tax from Periodic Payments e_Form719 revised.xml Yes Yes Fillable Fileable
Form and Instruction Form 720 Application for Lump-Sum Payment e_Form720 revised.docx Yes Yes Fillable Fileable Signable
Form and Instruction Form 720CD Application for Lump-Sum Payment 720CD.xml No   Paper Only
Form and Instruction Form 720MP Application for Lump-Sum Payment - Missing Participant e_Form720MP revised.docx No   Paper Only
Form and Instruction Form 721 Application for Payment Eligible for Rollover – Non-Spouse Beneficiary e_Form721 revised.xml No   Paper Only
Form and Instruction Form 721T Tax Election for Single Payment Not Eligible for Rollover e_Form721T new.docx No   Paper Only
Form and Instruction Form 722 Financial Statement of Debtor Form 722.xml No   Paper Only
Other-Privacy Notices Privacy Act Notices.xml No   Paper Only
Other-Tax Notice Special Tax Notice.docx No   Paper Only
Other-Paperwork Reduction Act Notice PRA Notice 2012.docx.doc No   Paper Only
Other-Screen shots of MyPBA Modernized MyPBA Screen Mockups 2012-09-28.docx No   Paper Only
Form and Instruction Form 700 Participant Application for Pension Benefits e_Form700 revised.docx Yes Yes Fillable Fileable Signable
Form and Instruction Form 701 Payee Information Form e_Form701 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 702 General Information Form Form 702.xml No   Paper Only
Form and Instruction Form 703 Application for Elective Lump-Sum Payment e_Form703 revised.docx No   Paper Only
Form and Instruction Form 703MP Application for Elective Lump-Sum Payment - Missing Participant e_Form703MP revised.xml No   Paper Only
Form and Instruction Form 704 Report for Earnings and Social Security Disability Information e_Form704 revised.docx No   Paper Only
Form and Instruction Form 705 Beneficiary Application for Pension Benefits e_Form705 revised.docx Yes Yes Fillable Fileable Signable
Form and Instruction Form 706 Beneficiary Application for Pension Benefits - OF e_Form706 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 707 Designation of Beneficiary for Benefits Owed at Death e_Form707 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 708 Designation of Beneficiary e_Form708 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 709 Plan Participation Information e_Form709.xml No   Paper Only
Form and Instruction Form 710 Application for Electronic Direct Deposit e_Form710 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 711 Change of Beneficiary for Certain & Continuous (C&C) Benefits Only e_Form711 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 712 Uniformed Services Information Form Form 712.xml No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 102,050 0 0 17,250 0 84,800
Annual IC Time Burden (Hours) 87,500 0 0 20,450 0 67,050
Annual IC Cost Burden (Dollars) 2,270 0 0 -1,460 0 3,730

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.