Information Collection

Locating and Paying Participants

IC 13603 under ICR 202405-1212-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 MyPBA Locating and Paying Participants	Form and Instruction
MyPBA MyPBA Screen Shots MyPBA Form 700 Screenshots_Redacted 2024 v3.pdf	Form and Instruction
MyPBA MyPBA Screen Shots MyPBA Form 700 Screenshots_Redacted 2024 v3.pdf	Form and Instruction
Form 700RN Election of Retroactive Annuity Starting Date (Spousal C Form 700RN OMBFINAL 04052024.pdf	Form and Instruction
Form 700RN Election of Retroactive Annuity Starting Date (Spousal C Form 700RN OMBFINAL 04052024.pdf	Form and Instruction
Form 700RSC Election of Retroactive Annuity Starting Date (Spousal C Form 700RSC OMBFINAL 04052024.pdf	Form and Instruction
Form 700RSC Election of Retroactive Annuity Starting Date (Spousal C Form 700RSC OMBFINAL 04052024.pdf	Form and Instruction
Form 703 Application for Elective Lump-Sum Payment Form 703 OMBFINAL 04152024.pdf	Form and Instruction
Form 703 Application for Elective Lump-Sum Payment Form 703 OMBFINAL 04152024.pdf	Form and Instruction
Form 703MP Application for Elective Lump-Sum Payment Form 703MP OMBFINAL 05082024.pdf	Form and Instruction
Form 703MP Application for Elective Lump-Sum Payment Form 703MP OMBFINAL 05082024.pdf	Form and Instruction
Form 703RBD Application for Elective Lump-Sum Payment, post RBD Form 703RBD OMBFINAL 04122024.pdf	Form and Instruction
Form 703RBD Application for Elective Lump-Sum Payment, post RBD Form 703RBD OMBFINAL 04122024.pdf	Form and Instruction
Form 703RBD-MP Application for Elective Lump-Sum Payment, post RBD Form 703RBD-MP OMBFINAL 04122024.pdf	Form and Instruction
Form 703RBD-MP Application for Elective Lump-Sum Payment, post RBD Form 703RBD-MP OMBFINAL 04122024.pdf	Form and Instruction
Form 704 Report of Earnings and Social Security Disability Inform Form 704 OMBFINAL 04152024.pdf	Form and Instruction
Form 704 Report of Earnings and Social Security Disability Inform Form 704 OMBFINAL 04152024.pdf	Form and Instruction
Form 712 Uniformed Services Information Form Form 712 OMBFINAL 04082024.pdf	Form and Instruction
Form 712 Uniformed Services Information Form Form 712 OMBFINAL 04082024.pdf	Form and Instruction
Form 713 Election to Withdraw Employee Contributions Form 713 OMBFINAL 04122024.pdf	Form and Instruction
Form 713 Election to Withdraw Employee Contributions Form 713 OMBFINAL 04122024.pdf	Form and Instruction
Form 714 Withdrawal of Employee Contributions – Non-Spouse Benefi Form 714 OMBFINAL 04242024.pdf	Form and Instruction
Form 714 Withdrawal of Employee Contributions – Non-Spouse Benefi Form 714 OMBFINAL 04242024.pdf	Form and Instruction
Form 715 Power of Attorney (POA) Form 715 OMBFINAL 04082024.pdf	Form and Instruction
Form 715 Power of Attorney (POA) Form 715 OMBFINAL 04082024.pdf	Form and Instruction
Form 720MP Application for Lump-Sum Payment Form 720MP OMBFINAL 05082024.pdf	Form and Instruction
Form 720MP Application for Lump-Sum Payment Form 720MP OMBFINAL 05082024.pdf	Form and Instruction
Form 721 Application for Eligible Rollover Payment – Non-Spouse B Form 721 OMBFINAL 04122024.pdf	Form and Instruction
Form 721 Application for Eligible Rollover Payment – Non-Spouse B Form 721 OMBFINAL 04122024.pdf	Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover Form 721T OMBFINAL 04122024.pdf	Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover Form 721T OMBFINAL 04122024.pdf	Form and Instruction
Form 700 Participant Application for Pension Benefits Form 700 OMBFINAL 04122024.pdf	Form and Instruction
Form 700 Participant Application for Pension Benefits Form 700 OMBFINAL 04122024.pdf	Form and Instruction
Form 701 Payee Information Form Form 701 OMBFINAL 04082024.pdf	Form and Instruction
Form 701 Payee Information Form Form 701 OMBFINAL 04082024.pdf	Form and Instruction
Form 702 General Information Form Form 702 OMBFINAL 04052024.pdf	Form and Instruction
Form 702 General Information Form Form 702 OMBFINAL 04052024.pdf	Form and Instruction
Form 705 Beneficiary Application for Pension Benefits Form 705 OMBFINAL 04122024.pdf	Form and Instruction
Form 705 Beneficiary Application for Pension Benefits Form 705 OMBFINAL 04122024.pdf	Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF Form 706 OMBFINAL 04122024.pdf	Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF Form 706 OMBFINAL 04122024.pdf	Form and Instruction
Form 707 Designation of Beneficiary for Benefits Owed at Death (C Form 707 OMBFINAL 04052024.pdf	Form and Instruction
Form 707 Designation of Beneficiary for Benefits Owed at Death (C Form 707 OMBFINAL 04052024.pdf	Form and Instruction
Form 708 Designation of Beneficiary for Benefits Owed at Death (N Form 708 OMBFINAL 04052024.pdf	Form and Instruction
Form 708 Designation of Beneficiary for Benefits Owed at Death (N Form 708 OMBFINAL 04052024.pdf	Form and Instruction
Form 710 Application for Electronic Direct Deposit Form 710 OMBFINAL 04122024.pdf	Form and Instruction
Form 710 Application for Electronic Direct Deposit Form 710 OMBFINAL 04122024.pdf	Form and Instruction
Form 711 Change of Beneficiary for Certain & Continuous (C&C) Ben Form 711 OMBFINAL 04052024.pdf	Form and Instruction
Form 711 Change of Beneficiary for Certain & Continuous (C&C) Ben Form 711 OMBFINAL 04052024.pdf	Form and Instruction
Form 716 Certification of Social Security Disability Status Form 716 OMBFINAL 04082024.pdf	Form and Instruction
Form 716 Certification of Social Security Disability Status Form 716 OMBFINAL 04082024.pdf	Form and Instruction
Form 716A Certification of Pension Plan Disability Status Form 716A OMBFINAL 04152024.pdf	Form and Instruction
Form 716A Certification of Pension Plan Disability Status Form 716A OMBFINAL 04152024.pdf	Form and Instruction
Form 717 Benefit Inquiry Questionnaire Form 717 OMBFINAL 04082024.pdf	Form and Instruction
Form 717 Benefit Inquiry Questionnaire Form 717 OMBFINAL 04082024.pdf	Form and Instruction
Form 720 Application for Lump-Sum Payment Form 720 OMBFINAL 04152024.pdf	Form and Instruction
Form 720 Application for Lump-Sum Payment Form 720 OMBFINAL 04152024.pdf	Form and Instruction
Form 720CD Application for Lump-Sum Payment (child or dependent) Form 720CD OMBFINAL 04122024.pdf	Form and Instruction
Form 720CD Application for Lump-Sum Payment (child or dependent) Form 720CD OMBFINAL 04122024.pdf	Form and Instruction
Form 722 Financial Statement of Debtor Form 722 OMBFINAL 04152024.pdf	Form and Instruction
Form 722 Financial Statement of Debtor Form 722 OMBFINAL 04152024.pdf	Form and Instruction
713RBD Election to Withdraw Employee Contributions, post RBD Form 713 RBD OMBFINAL 04082024.pdf	Form and Instruction
713RBD Election to Withdraw Employee Contributions, post RBD Form 713 RBD OMBFINAL 04082024.pdf	Form and Instruction
714RBD Withdrawal of Employee Contributions – Non-Spouse Benefi Form 714 RBD OMBFINAL 04152024.pdf	Form and Instruction
714RBD Withdrawal of Employee Contributions – Non-Spouse Benefi Form 714 RBD OMBFINAL 04152024.pdf	Form and Instruction
720MP Roth Application for Lump-Sum Payment Roth Form 720MP Roth Combo 01032023.pdf	Form and Instruction
720MP Roth Application for Lump-Sum Payment Roth Form 720MP Roth Combo 01032023.pdf	Form and Instruction
703MP Roth Application for Elective Lump-Sum Payment - Roth Account Form 703MP Roth Combo 01032023.pdf	Form and Instruction
703MP Roth Application for Elective Lump-Sum Payment - Roth Account Form 703MP Roth Combo 01032023.pdf	Form and Instruction

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: 29 CFR 4022

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	MyPBA	MyPBA Screen Shots	MyPBA Form 700 Screenshots_Redacted 2024 v3.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 700RN	Election of Retroactive Annuity Starting Date (Spousal Consent not Required)	Form 700RN OMBFINAL 04052024.pdf	No		Paper Only
Form and Instruction	Form 700RSC	Election of Retroactive Annuity Starting Date (Spousal Consent Required)	Form 700RSC OMBFINAL 04052024.pdf	No		Paper Only
Form and Instruction	Form 703	Application for Elective Lump-Sum Payment	Form 703 OMBFINAL 04152024.pdf	No		Paper Only
Form and Instruction	Form 703MP	Application for Elective Lump-Sum Payment	Form 703MP OMBFINAL 05082024.pdf	No		Paper Only
Form and Instruction	Form 703RBD	Application for Elective Lump-Sum Payment, post RBD	Form 703RBD OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 703RBD-MP	Application for Elective Lump-Sum Payment, post RBD	Form 703RBD-MP OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 704	Report of Earnings and Social Security Disability Information	Form 704 OMBFINAL 04152024.pdf	No		Paper Only
Form and Instruction	Form 712	Uniformed Services Information Form	Form 712 OMBFINAL 04082024.pdf	No		Paper Only
Form and Instruction	Form 713	Election to Withdraw Employee Contributions	Form 713 OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 714	Withdrawal of Employee Contributions â Non-Spouse Beneficiary	Form 714 OMBFINAL 04242024.pdf	No		Paper Only
Form and Instruction	Form 715	Power of Attorney (POA)	Form 715 OMBFINAL 04082024.pdf	No		Paper Only
Form and Instruction	Form 720MP	Application for Lump-Sum Payment	Form 720MP OMBFINAL 05082024.pdf	No		Paper Only
Form and Instruction	Form 721	Application for Eligible Rollover Payment â Non-Spouse Beneficiary	Form 721 OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 721T	Tax Election for Payment Not Eligible for Rollover	Form 721T OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 700	Participant Application for Pension Benefits	Form 700 OMBFINAL 04122024.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 701	Payee Information Form	Form 701 OMBFINAL 04082024.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 702	General Information Form	Form 702 OMBFINAL 04052024.pdf	No		Paper Only
Form and Instruction	Form 705	Beneficiary Application for Pension Benefits	Form 705 OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 706	Beneficiary Application for Pension Benefits - OF	Form 706 OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 707	Designation of Beneficiary for Benefits Owed at Death (Currently Receiving Pension Benefits)	Form 707 OMBFINAL 04052024.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 708	Designation of Beneficiary for Benefits Owed at Death (Not Currently Receiving Pension Benefits)	Form 708 OMBFINAL 04052024.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 710	Application for Electronic Direct Deposit	Form 710 OMBFINAL 04122024.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 711	Change of Beneficiary for Certain & Continuous (C&C) Benefits Only	Form 711 OMBFINAL 04052024.pdf	No		Paper Only
Form and Instruction	Form 716	Certification of Social Security Disability Status	Form 716 OMBFINAL 04082024.pdf	No		Paper Only
Form and Instruction	Form 716A	Certification of Pension Plan Disability Status	Form 716A OMBFINAL 04152024.pdf	No		Paper Only
Form and Instruction	Form 717	Benefit Inquiry Questionnaire	Form 717 OMBFINAL 04082024.pdf	No		Paper Only
Form and Instruction	Form 720	Application for Lump-Sum Payment	Form 720 OMBFINAL 04152024.pdf	No		Paper Only
Form and Instruction	Form 720CD	Application for Lump-Sum Payment (child or dependent)	Form 720CD OMBFINAL 04122024.pdf	No		Paper Only
Form and Instruction	Form 722	Financial Statement of Debtor	Form 722 OMBFINAL 04152024.pdf	No		Paper Only
Form and Instruction	713RBD	Election to Withdraw Employee Contributions, post RBD	Form 713 RBD OMBFINAL 04082024.pdf	No		Paper Only
Form and Instruction	714RBD	Withdrawal of Employee Contributions â Non-Spouse Beneficiary	Form 714 RBD OMBFINAL 04152024.pdf	No		Paper Only
Form and Instruction	720MP Roth	Application for Lump-Sum Payment Roth	Form 720MP Roth Combo 01032023.pdf	No		Paper Only
Form and Instruction	703MP Roth	Application for Elective Lump-Sum Payment - Roth Account	Form 703MP Roth Combo 01032023.pdf	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: PBGC-6: Plan Participant and Beneficiary Data

FR Citation: 83 FR 6247

Number of Respondents: 136,081

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	136,081	-34,425	170,506
Annual IC Time Burden (Hours)	101,703	43,327	58,376
Annual IC Cost Burden (Dollars)	60,742	2,060	58,682

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.