Information Collection

Locating and Paying Participants

IC 13603 under ICR 202212-1212-002 · OMB 1212-0055.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form MyPBA
Locating and Paying Participants
Form and Instruction
Form MyPBA
MyPBA Screen Shots Locating and Paying Participants
Form and Instruction
Form Form 700RN
Election of Retroactive Annuity Starting Date (Spousal Consent not Required) Locating and Paying Participants
Form and Instruction
Form Form 700RSC
Election of Retroactive Annuity Starting Date (Spousal Consent Required) 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 703RBD
Application for Elective Lump-Sum Payment, post RBD Locating and Paying Participants
Form and Instruction
Form Form 703RBB-MP
Application for Elective Lump-Sum Payment, post RBD 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 712
Uniformed Services Information Form Locating and Paying Participants
Form and Instruction
Form Form 713
Election to Withdraw Employee Contributions Locating and Paying Participants
Form and Instruction
Form Form 714
Withdrawal of Employee Contributions – Non-Spouse Beneficiary Locating and Paying Participants
Form and Instruction
Form Form 715
Power of Attorney (POA) 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 Payments 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 700
Participant Application for Pension Benefits Locating and Paying Participants
Form and Instruction
Form Form 701
Payee Information Form Locating and Paying Participants
Form and Instruction
Form Form 702
General Information Form 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 - OF Locating and Paying Participants
Form and Instruction
Form Form 707
Designation of Beneficiary for Benefits Owed at Death (Currently Receiving Pension Benefits) Locating and Paying Participants
Form and Instruction
Form Form 708
Designation of Beneficiary for Benefits Owed at Death (Not Currently Receiving Pension Benefits) Locating and Paying Participants
Form and Instruction
Form Form 710
Application for Electronic Direct Deposit Locating and Paying Participants
Form and Instruction
Form Form 711
Change of Beneficiary for Certain & Continuous (C&C) Benefits Only Locating and Paying Participants
Form and Instruction
Form Form 716
Certification of Social Security Disability Status Locating and Paying Participants
Form and Instruction
Form Form 716A
Certification of Pension Plan Disability Status Locating and Paying Participants
Form and Instruction
Form Form 717
Benefit Inquiry Questionnaire 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 (child or dependent) Locating and Paying Participants
Form and Instruction
Form Form 722
Financial Statement of Debtor Locating and Paying Participants
Form and Instruction
MyPBA MyPBA Screen Shots
MyPBA screens related to PBGC forms_2021_v2.pdf
Form and Instruction
MyPBA MyPBA Screen Shots
MyPBA screens related to PBGC forms_2021_v2.pdf
Form and Instruction
Form 700RN Election of Retroactive Annuity Starting Date (Spousal C
Form700RN.pdf
Form and Instruction
Form 700RN Election of Retroactive Annuity Starting Date (Spousal C
Form700RN.pdf
Form and Instruction
Form 700RSC Election of Retroactive Annuity Starting Date (Spousal C
Form700RSC.pdf
Form and Instruction
Form 700RSC Election of Retroactive Annuity Starting Date (Spousal C
Form700RSC.pdf
Form and Instruction
Form 703 Application for Elective Lump-Sum Payment
Form703.pdf
Form and Instruction
Form 703 Application for Elective Lump-Sum Payment
Form703.pdf
Form and Instruction
Form 703MP Application for Elective Lump-Sum Payment
Form703MP.pdf
Form and Instruction
Form 703MP Application for Elective Lump-Sum Payment
Form703MP.pdf
Form and Instruction
Form 703RBD Application for Elective Lump-Sum Payment, post RBD
Form703RBD.pdf
Form and Instruction
Form 703RBD Application for Elective Lump-Sum Payment, post RBD
Form703RBD.pdf
Form and Instruction
Form 703RBB-MP Application for Elective Lump-Sum Payment, post RBD
Form703RBD-MP.pdf
Form and Instruction
Form 703RBB-MP Application for Elective Lump-Sum Payment, post RBD
Form703RBD-MP.pdf
Form and Instruction
Form 704 Report of Earnings and Social Security Disability Inform
Form704.pdf
Form and Instruction
Form 704 Report of Earnings and Social Security Disability Inform
Form704.pdf
Form and Instruction
Form 712 Uniformed Services Information Form
Form712.pdf
Form and Instruction
Form 712 Uniformed Services Information Form
Form712.pdf
Form and Instruction
Form 713 Election to Withdraw Employee Contributions
Form713.pdf
Form and Instruction
Form 713 Election to Withdraw Employee Contributions
Form713.pdf
Form and Instruction
Form 714 Withdrawal of Employee Contributions – Non-Spouse Benefi
Form714.pdf
Form and Instruction
Form 714 Withdrawal of Employee Contributions – Non-Spouse Benefi
Form714.pdf
Form and Instruction
Form 715 Power of Attorney (POA)
Form715.pdf
Form and Instruction
Form 715 Power of Attorney (POA)
Form715.pdf
Form and Instruction
Form 718 Installment Payment Agreement
Form718.pdf
Form and Instruction
Form 718 Installment Payment Agreement
Form718.pdf
Form and Instruction
Form 719 Election to Withhold Federal Income Tax from Periodic Pa
Form719.pdf
Form and Instruction
Form 719 Election to Withhold Federal Income Tax from Periodic Pa
Form719.pdf
Form and Instruction
Form 720MP Application for Lump-Sum Payment
Form720MP.pdf
Form and Instruction
Form 720MP Application for Lump-Sum Payment
Form720MP.pdf
Form and Instruction
Form 721 Application for Eligible Rollover Payment – Non-Spouse B
Form721.pdf
Form and Instruction
Form 721 Application for Eligible Rollover Payment – Non-Spouse B
Form721.pdf
Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover
Form721T.pdf
Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover
Form721T.pdf
Form and Instruction
Form 700 Participant Application for Pension Benefits
Form 700 NEW 020221 - WR updated 05052021 final add in annual whold 06282021 07072021.pdf
Form and Instruction
Form 700 Participant Application for Pension Benefits
Form 700 NEW 020221 - WR updated 05052021 final add in annual whold 06282021 07072021.pdf
Form and Instruction
Form 701 Payee Information Form
Form701 exp 10312021 - draft add spouse gender 03042020 ben clar 06182020 07072021.pdf
Form and Instruction
Form 701 Payee Information Form
Form701 exp 10312021 - draft add spouse gender 03042020 ben clar 06182020 07072021.pdf
Form and Instruction
Form 702 General Information Form
Form702 exp 10312021 ben clar 06172020 clean 07072021.pdf
Form and Instruction
Form 702 General Information Form
Form702 exp 10312021 ben clar 06172020 clean 07072021.pdf
Form and Instruction
Form 705 Beneficiary Application for Pension Benefits
Form705 exp 10312021 2020taxinfo01272020 ben clar 06172020- remove ETA info 01082021 2021tax info 04012021 07072021.pdf
Form and Instruction
Form 705 Beneficiary Application for Pension Benefits
Form705 exp 10312021 2020taxinfo01272020 ben clar 06172020- remove ETA info 01082021 2021tax info 04012021 07072021.pdf
Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF
Form706 exp 10312021 2020taxinfo and certain period 09112019 ben clar 06182020 - remove ETA 012021 2021taxinfo 04022021 ASD 0624
Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF
Form706 exp 10312021 2020taxinfo and certain period 09112019 ben clar 06182020 - remove ETA 012021 2021taxinfo 04022021 ASD 0624
Form and Instruction
Form 707 Designation of Beneficiary for Benefits Owed at Death (C
Form707 exp 10312021 - ben clar 06162020 - misc edits 02022021 07072021.pdf
Form and Instruction
Form 707 Designation of Beneficiary for Benefits Owed at Death (C
Form707 exp 10312021 - ben clar 06162020 - misc edits 02022021 07072021.pdf
Form and Instruction
Form 708 Designation of Beneficiary for Benefits Owed at Death (N
Form708 exp 10312021 ben clar 06172020 07072021.pdf
Form and Instruction
Form 708 Designation of Beneficiary for Benefits Owed at Death (N
Form708 exp 10312021 ben clar 06172020 07072021.pdf
Form and Instruction
Form 710 Application for Electronic Direct Deposit
Form710 exp 10312021 - remove ETA 01112021 07072021.pdf
Form and Instruction
Form 710 Application for Electronic Direct Deposit
Form710 exp 10312021 - remove ETA 01112021 07072021.pdf
Form and Instruction
Form 711 Change of Beneficiary for Certain & Continuous (C&C) Ben
Form711 with bene clarif and spousal consent 01122021 07072021.pdf
Form and Instruction
Form 711 Change of Beneficiary for Certain & Continuous (C&C) Ben
Form711 with bene clarif and spousal consent 01122021 07072021.pdf
Form and Instruction
Form 716 Certification of Social Security Disability Status
Form716 exp 10312021 07072021.pdf
Form and Instruction
Form 716 Certification of Social Security Disability Status
Form716 exp 10312021 07072021.pdf
Form and Instruction
Form 716A Certification of Pension Plan Disability Status
Form716A exp 10312021 07072021.pdf
Form and Instruction
Form 716A Certification of Pension Plan Disability Status
Form716A exp 10312021 07072021.pdf
Form and Instruction
Form 717 Benefit Inquiry Questionnaire
Form717 exp10312021 new version 07072021.pdf
Form and Instruction
Form 717 Benefit Inquiry Questionnaire
Form717 exp10312021 new version 07072021.pdf
Form and Instruction
Form 720 Application for Lump-Sum Payment
Form720 exp 10312021 07072021.pdf
Form and Instruction
Form 720 Application for Lump-Sum Payment
Form720 exp 10312021 07072021.pdf
Form and Instruction
Form 720CD Application for Lump-Sum Payment (child or dependent)
Form720CD exp 10312021 - no change 07072021.pdf
Form and Instruction
Form 720CD Application for Lump-Sum Payment (child or dependent)
Form720CD exp 10312021 - no change 07072021.pdf
Form and Instruction
Form 722 Financial Statement of Debtor
Form722 exp 10312018 - no change 07072021.pdf
Form and Instruction
Form 722 Financial Statement of Debtor
Form722 exp 10312018 - no change 07072021.pdf
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 MyPBA Yes Yes Fillable Fileable Signable
Form and Instruction Form 700RN No   Paper Only
Form and Instruction Form 700RSC No   Paper Only
Form and Instruction Form 703 No   Paper Only
Form and Instruction Form 703MP No   Paper Only
Form and Instruction Form 703RBD No   Paper Only
Form and Instruction Form 703RBB-MP No   Paper Only
Form and Instruction Form 704 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 715 No   Paper Only
Form and Instruction Form 718 No   Paper Only
Form and Instruction Form 719 Yes Yes Fillable Fileable Signable
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 700 Yes Yes Fillable Fileable Signable
Form and Instruction Form 701 Yes Yes Fillable Fileable Signable
Form and Instruction Form 702 No   Paper Only
Form and Instruction Form 705 No   Paper Only
Form and Instruction Form 706 No   Paper Only
Form and Instruction Form 707 Yes Yes Fillable Fileable Signable
Form and Instruction Form 708 Yes Yes Fillable Fileable Signable
Form and Instruction Form 710 Yes Yes Fillable Fileable Signable
Form and Instruction Form 711 No   Paper Only
Form and Instruction Form 716 No   Paper Only
Form and Instruction Form 716A No   Paper Only
Form and Instruction Form 717 No   Paper Only
Form and Instruction Form 720 No   Paper Only
Form and Instruction Form 720CD No   Paper Only
Form and Instruction Form 722 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 170,506 0 0 0 0 170,506
Annual IC Time Burden (Hours) 58,376 0 0 0 0 58,376
Annual IC Cost Burden (Dollars) 58,682 0 0 0 0 58,682

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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