Information Collection

Locating and Paying Participants

IC 13603 under ICR 201902-1212-001 · OMB 1212-0055.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form Form 701
Payee Information Locating and Paying Participants
Form and Instruction
Form Form 702
General Information Locating and Paying Participants
Form and Instruction
Form Form 703
Application for Elective Lump-Sum Payment Locating and Paying Participants
Form and Instruction
Form Form 703MP
Application for Elective Lump-Sum Payment Locating and Paying Participants
Form and Instruction
Form Form 704
Report of Earnings and Social Security Disability Information Locating and Paying Participants
Form and Instruction
Form Form 700
Participant Application for Pension Benefits Locating and Paying Participants
Form and Instruction
Form Form 705
Beneficiary Application for Pension Benefits Locating and Paying Participants
Form and Instruction
Form Form 706
Beneficiary Application for Pension Benefits Locating and Paying Participants
Form and Instruction
Form Form 707
Designation of Beneficiary for Benefits Owed at Death Locating and Paying Participants
Form and Instruction
Form Form 708
Designation of Beneficiary Locating and Paying Participants
Form and Instruction
Form Form 709
Plan Participant Information Locating and Paying Participants
Form and Instruction
Form Form 710
Application for Direct Deposit Locating and Paying Participants
Form and Instruction
Form Form 711
Change of Beneficiary for Certain Continuous Benefits Only Locating and Paying Participants
Form and Instruction
Form Form 712
Uniformed Services Information Form Locating and Paying Participants
Form and Instruction
Form Form 713
Election fot Withdraw Employee Contributions Locating and Paying Participants
Form and Instruction
Form Form 714
Withdrawal of Employee Contributiions Locating and Paying Participants
Form and Instruction
Form Form 716
Certification of Social Security Disability Locating and Paying Participants
Form and Instruction
Form Form 716A
Certificate of Pension Plan Disability Status Locating and Paying Participants
Form and Instruction
Form Form 718
Installment Payment Agreement Locating and Paying Participants
Form and Instruction
Form Form 719
Election to Withhold Federal Income Tax from Periodic Payment Locating and Paying Participants
Form and Instruction
Form Form 720
Application for Lump-Sum Payment Locating and Paying Participants
Form and Instruction
Form Form 720CD
Application for Lump-Sum Payment Locating and Paying Participants
Form and Instruction
Form Form 720MP
Application for Lump-Sum Payment Locating and Paying Participants
Form and Instruction
Form Form 721
Application for Eligible Rollover Payment - Non-Spouse Beneficiary Locating and Paying Participants
Form and Instruction
Form Form 721T
Tax Election for Payment Not Eligible for Rollover Locating and Paying Participants
Form and Instruction
Form Form 722
Financial Statement of Debtor Locating and Paying Participants
Form and Instruction
Form Form 717
Benefit Inquiry Questionnaire Locating and Paying Participants
Form and Instruction
Form 715
Power of Attorney (POA) Locating and Paying Participants
Form and Instruction
Form 700
Participant Application for Benefits Locating and Paying Participants
Form and Instruction
Form 705
Beneficiary Application for Pension Benefits Locating and Paying Participants
Form and Instruction
Form 706
Beneficiary Application for Pension Benefits Locating and Paying Participants
Form and Instruction
Form 719
Election to Withhold Federal Income Tax from Periodic Payments Locating and Paying Participants
Form and Instruction
MyPBA screens related to PBGC forms.docx Other-Screen shots
Form 701 Payee Information
e_Form 701- Payee Information.docx
Form and Instruction
Form 702 General Information
e_Form 702 General Information Form.docx
Form and Instruction
Form 703 Application for Elective Lump-Sum Payment
e_Form 703 Application for Elective Lump-Sum Payment.docx
Form and Instruction
Form 703MP Application for Elective Lump-Sum Payment
e_Form 703MP Application for Elective Lump-sum Payment.docx
Form and Instruction
Form 704 Report of Earnings and Social Security Disability Inform
e_Form 704 Report of Earnings and Social Security Disability Information.docx
Form and Instruction
Form 700 Participant Application for Pension Benefits
e_Form 700 Participant Application for Pension Benefits.docx
Form and Instruction
Form 705 Beneficiary Application for Pension Benefits
e_Form 705 Beneficiary Application for Pension Benefits.docx
Form and Instruction
Form 706 Beneficiary Application for Pension Benefits
e_Form 706 Beneficiary Application for Pension Benefits - OF.docx
Form and Instruction
Form 707 Designation of Beneficiary for Benefits Owed at Death
e_Form 707 Designation of Beneficiary for Benefits Owed at Death.docx
Form and Instruction
Form 708 Designation of Beneficiary
e_Form 708 Designation of Beneficiary.docx
Form and Instruction
Form 709 Plan Participant Information
e_Form 709 Plan Participant Information.docx
Form and Instruction
Form 710 Application for Direct Deposit
e_Form 710 Application for Direct Deposit.docx
Form and Instruction
Form 711 Change of Beneficiary for Certain Continuous Benefits On
e_Form 711 Change of Beneficiary for Certain continuous (CC) Benefits Only.docx
Form and Instruction
Form 712 Uniformed Services Information Form
e_Form 712 Uniformed Services Information Form.docx
Form and Instruction
Form 713 Election fot Withdraw Employee Contributions
e_Form 713 Election to Withdraw Employee Contributions.docx
Form and Instruction
Form 714 Withdrawal of Employee Contributiions
e_Form 714 Withdrawal of Employee Contributions - Non-Spouse Beneficiary.docx
Form and Instruction
Form 716 Certification of Social Security Disability
e_Form 716 Certification of Social Security Disability Status.docx
Form and Instruction
Form 716A Certificate of Pension Plan Disability Status
e_Form 716A Certificate of Pension Plan Disability Status.docx
Form and Instruction
Form 718 Installment Payment Agreement
e_Form 718 Installment Payment Agreement.docx
Form and Instruction
Form 719 Election to Withhold Federal Income Tax from Periodic Pa
e_Form 719 Election to Withhold Federal Income Tax from Periodic Payment.docx
Form and Instruction
Form 720 Application for Lump-Sum Payment
e_Form 720 Application for Lump-Sum Payment.docx
Form and Instruction
Form 720CD Application for Lump-Sum Payment
e_Form720CD Application for Lump-Sum Payment.docx
Form and Instruction
Form 720MP Application for Lump-Sum Payment
e_Form720MP Application for Lump-Sum Payment.docx
Form and Instruction
Form 721 Application for Eligible Rollover Payment - Non-Spouse B
e_Form721 Application for Eligible Rollover Payment - Non-Spouse Beneficiary.docx
Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover
e_Form721T Tax Election for Payment Not Eligible for Rollover.docx
Form and Instruction
Form 722 Financial Statement of Debtor
e_Form722 Financial Statement of Debtor.docx
Form and Instruction
Form 717 Benefit Inquiry Questionnaire
Form 717 - Benefit Inquiry Questionnaire.pdf
Form and Instruction
715 Power of Attorney (POA)
e_Form 715D 05152018.pdf
Form and Instruction
700 Participant Application for Benefits
Form700 exp 10312021 2019taxinfo.pdf
Form and Instruction
705 Beneficiary Application for Pension Benefits
Form705 exp 10312021 2019taxinfo.pdf
Form and Instruction
706 Beneficiary Application for Pension Benefits
Form706 exp 10312021 2019taxinfo.pdf
Form and Instruction
719 Election to Withhold Federal Income Tax from Periodic Pa
Form719 exp 10312021 2019taxinfo.pdf
Form and Instruction
Privacy Act Notice - Long Clean 2018.pdf
Long Privacy Act Notice 2018
IC Document

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 701 No   Paper Only
Form and Instruction Form 702 No   Paper Only
Form and Instruction Form 703 No   Paper Only
Form and Instruction Form 703MP No   Paper Only
Form and Instruction Form 704 No   Paper Only
Form and Instruction Form 700 No   Paper Only
Form and Instruction Form 705 No   Paper Only
Form and Instruction Form 706 No   Paper Only
Form and Instruction Form 707 No   Paper Only
Form and Instruction Form 708 No   Paper Only
Form and Instruction Form 709 No   Paper Only
Form and Instruction Form 710 No   Paper Only
Form and Instruction Form 711 No   Paper Only
Form and Instruction Form 712 No   Paper Only
Form and Instruction Form 713 No   Paper Only
Form and Instruction Form 714 No   Paper Only
Form and Instruction Form 716 No   Paper Only
Form and Instruction Form 716A No   Paper Only
Form and Instruction Form 718 No   Paper Only
Form and Instruction Form 719 No   Paper Only
Form and Instruction Form 720 No   Paper Only
Form and Instruction Form 720CD No   Paper Only
Form and Instruction Form 720MP No   Paper Only
Form and Instruction Form 721 No   Paper Only
Form and Instruction Form 721T No   Paper Only
Form and Instruction Form 722 No   Paper Only
Other-Screen shots Yes Yes Fillable Fileable
Form and Instruction Form 717 No   Paper Only
Form and Instruction 715 Yes No Paper Only
Form and Instruction 700 Yes Yes Fillable Fileable Signable
Form and Instruction 705 Yes Yes Fillable Fileable Signable
Form and Instruction 706 Yes Yes Fillable Fileable Signable
Form and Instruction 719 Yes Yes Fillable Fileable Signable

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 175,397 0 0 0 0 175,397
Annual IC Time Burden (Hours) 108,440 0 0 0 0 108,440
Annual IC Cost Burden (Dollars) 56,711 0 0 0 0 56,711

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Long Privacy Act Notice 2018 08/03/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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