Locating and Paying Participants

ICR 202104-1212-001

OMB: 1212-0055

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2021-04-06
Justification for No Material/Nonsubstantive Change
2020-11-16
Justification for No Material/Nonsubstantive Change
2020-01-30
Justification for No Material/Nonsubstantive Change
2019-02-01
Supporting Statement A
2018-08-03
IC Document Collections
IC ID
Document
Title
Status
13603 Modified
ICR Details
1212-0055 202104-1212-001
Received in OIRA 202011-1212-001
PBGC
Locating and Paying Participants
No material or nonsubstantive change to a currently approved collection   No
Regular 04/06/2021
  Requested Previously Approved
10/31/2021 10/31/2021
175,397 175,397
108,440 108,440
56,711 56,711

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

  83 FR 22715 05/16/2018
83 FR 39479 08/09/2018
No

1
IC Title Form No. Form Name
Locating and Paying Participants Form 706, Form 719, Form 700, Form 705, Form 707, Form 708, Form 720, Form 709, Form 710, Form 714, Form 716, Form 716A, Form 721, Form 721T, Form 722, Form 717, Form 701, Form 702, Form 703, Form 703MP, Form 711, Form 712, Form 713, Form 718, Form 720CD, Form 720MP, Form 704, 715, Form 700, Form 705, Form 706, Form 719 Payee Information ,   General Information ,   Application for Elective Lump-Sum Payment ,   Application for Elective Lump-Sum Payment ,   Report of Earnings and Social Security Disability Information ,   Designation of Beneficiary for Benefits Owed at Death ,   Designation of Beneficiary ,   Plan Participant Information ,   Application for Direct Deposit ,   Change of Beneficiary for Certain Continuous Benefits Only ,   Uniformed Services Information Form ,   Election fot Withdraw Employee Contributions ,   Withdrawal of Employee Contributiions ,   Certification of Social Security Disability ,   Certificate of Pension Plan Disability Status ,   Installment Payment Agreement ,   Application for Lump-Sum Payment ,   Application for Lump-Sum Payment ,   Application for Lump-Sum Payment ,   Application for Eligible Rollover Payment - Non-Spouse Beneficiary ,   Tax Election for Payment Not Eligible for Rollover ,   Financial Statement of Debtor ,   Benefit Inquiry Questionnaire ,   Power of Attorney (POA) ,   Beneficiary Application for Pension Benefits - OF ,   Election to Withhold Federal Income Tax from Periodic Payments ,   Participant Application for Pension Benefits ,   Beneficiary Application for Pension Benefits ,   Participant Application for Pension Benefits ,   Beneficiary Application for Pension Benefits ,   Beneficiary Application for Pension Benefits - OF ,   Election to Withhold Federal Income Tax from Periodic Payments

  Total Request 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 175,397 175,397 0 0 0 0
Annual Time Burden (Hours) 108,440 108,440 0 0 0 0
Annual Cost Burden (Dollars) 56,711 56,711 0 0 0 0
No
No

$0
No
    Yes
    Yes
No
No
No
No
Stephanie Cibinic 202 326-4000 ext. 6352 [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.
04/06/2021


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