Information Collection

Locating and Paying Participants

IC 13603 under ICR 201902-1212-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 702 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)

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	Form 702	General Information	e_Form 702 General Information Form.docx	No		Paper Only
Form and Instruction	Form 701	Payee Information	e_Form 701- Payee Information.docx	No		Paper Only
Form and Instruction	Form 703	Application for Elective Lump-Sum Payment	e_Form 703 Application for Elective Lump-Sum Payment.docx	No		Paper Only
Form and Instruction	Form 703MP	Application for Elective Lump-Sum Payment	e_Form 703MP Application for Elective Lump-sum Payment.docx	No		Paper Only
Form and Instruction	Form 704	Report of Earnings and Social Security Disability Information	e_Form 704 Report of Earnings and Social Security Disability Information.docx	No		Paper Only
Form and Instruction	Form 700	Participant Application for Pension Benefits	e_Form 700 Participant Application for Pension Benefits.docx	No		Paper Only
Form and Instruction	Form 705	Beneficiary Application for Pension Benefits	e_Form 705 Beneficiary Application for Pension Benefits.docx	No		Paper Only
Form and Instruction	Form 706	Beneficiary Application for Pension Benefits	e_Form 706 Beneficiary Application for Pension Benefits - OF.docx	No		Paper Only
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	No		Paper Only
Form and Instruction	Form 708	Designation of Beneficiary	e_Form 708 Designation of Beneficiary.docx	No		Paper Only
Form and Instruction	Form 709	Plan Participant Information	e_Form 709 Plan Participant Information.docx	No		Paper Only
Form and Instruction	Form 710	Application for Direct Deposit	e_Form 710 Application for Direct Deposit.docx	No		Paper Only
Form and Instruction	Form 711	Change of Beneficiary for Certain Continuous Benefits Only	e_Form 711 Change of Beneficiary for Certain continuous (CC) Benefits Only.docx	No		Paper Only
Form and Instruction	Form 712	Uniformed Services Information Form	e_Form 712 Uniformed Services Information Form.docx	No		Paper Only
Form and Instruction	Form 713	Election fot Withdraw Employee Contributions	e_Form 713 Election to Withdraw Employee Contributions.docx	No		Paper Only
Form and Instruction	Form 714	Withdrawal of Employee Contributiions	e_Form 714 Withdrawal of Employee Contributions - Non-Spouse Beneficiary.docx	No		Paper Only
Form and Instruction	Form 716	Certification of Social Security Disability	e_Form 716 Certification of Social Security Disability Status.docx	No		Paper Only
Form and Instruction	Form 716A	Certificate of Pension Plan Disability Status	e_Form 716A Certificate of Pension Plan Disability Status.docx	No		Paper Only
Form and Instruction	Form 718	Installment Payment Agreement	e_Form 718 Installment Payment Agreement.docx	No		Paper Only
Form and Instruction	Form 719	Election to Withhold Federal Income Tax from Periodic Payment	e_Form 719 Election to Withhold Federal Income Tax from Periodic Payment.docx	No		Paper Only
Form and Instruction	Form 720	Application for Lump-Sum Payment	e_Form 720 Application for Lump-Sum Payment.docx	No		Paper Only
Form and Instruction	Form 720CD	Application for Lump-Sum Payment	e_Form720CD Application for Lump-Sum Payment.docx	No		Paper Only
Form and Instruction	Form 720MP	Application for Lump-Sum Payment	e_Form720MP Application for Lump-Sum Payment.docx	No		Paper Only
Form and Instruction	Form 721	Application for Eligible Rollover Payment - Non-Spouse Beneficiary	e_Form721 Application for Eligible Rollover Payment - Non-Spouse Beneficiary.docx	No		Paper Only
Form and Instruction	Form 721T	Tax Election for Payment Not Eligible for Rollover	e_Form721T Tax Election for Payment Not Eligible for Rollover.docx	No		Paper Only
Form and Instruction	Form 722	Financial Statement of Debtor	e_Form722 Financial Statement of Debtor.docx	No		Paper Only
Other-Screen shots			MyPBA screens related to PBGC forms.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Form 717	Benefit Inquiry Questionnaire	Form 717 - Benefit Inquiry Questionnaire.pdf	No		Paper Only
Form and Instruction	715	Power of Attorney (POA)	e_Form 715D 05152018.pdf	Yes	No	Paper Only
Form and Instruction	700	Participant Application for Benefits	Form700 exp 10312021 2019taxinfo.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	705	Beneficiary Application for Pension Benefits	Form705 exp 10312021 2019taxinfo.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	706	Beneficiary Application for Pension Benefits	Form706 exp 10312021 2019taxinfo.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	719	Election to Withhold Federal Income Tax from Periodic Payments	Form719 exp 10312021 2019taxinfo.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175,397

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	175,397	175,397
Annual IC Time Burden (Hours)	108,440	108,440
Annual IC Cost Burden (Dollars)	56,711	56,711

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Long Privacy Act Notice 2018	Privacy Act Notice - Long Clean 2018.pdf	08/03/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.