OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Locating and Paying Participants

OMB 1212-0055 · PBGC.

OMB 1212-0055

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, PBGC requests individuals to provide identifying information that the individual would provide as part of an initial contact with PBGC.

The latest form for Locating and Paying Participants expires 2027-06-30 and is listed under ICR 202511-1212-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form 703RBD-MP Application for Elective Lump-Sum Payment, post RBD (Missing Participant)Form and Instruction
Form Form 703RBD Application for Elective Lump-Sum Payment, post RBDForm and Instruction
Form Form 721T Tax Election for Payment Not Eligible for RolloverForm and Instruction
Form Form 706 Beneficiary Application for Pension Benefits - OFForm and Instruction
Form Form 705 Beneficiary Application for Pension BenefitsForm and Instruction
Form Form 700 Participant Application for Pension BenefitsForm and Instruction
Form 703MP Roth Application for Elective Lump-Sum Payment - Roth AccountForm and Instruction
Form 720MP Roth Application for Lump-Sum Payment RothForm and Instruction
Form 714RBD Withdrawal of Employee Contributions – Non-Spouse BeneficiaryForm and Instruction
Form 713RBD Election to Withdraw Employee Contributions, post RBDForm and Instruction
Form Form 722 Financial Statement of DebtorForm and Instruction
Form Form 720CD Application for Lump-Sum Payment (child or dependent)Form and Instruction
Form Form 720 Application for Lump-Sum PaymentForm and Instruction
Form Form 717 Benefit Inquiry QuestionnaireForm and Instruction
Form Form 716A Certification of Pension Plan Disability StatusForm and Instruction
Form Form 716 Certification of Social Security Disability StatusForm and Instruction
Form Form 711 Change of Beneficiary for Certain & Continuous (C&C) Benefits OnlyForm and Instruction
Form Form 710 Application for Electronic Direct DepositForm and Instruction
Form Form 708 Designation of Beneficiary for Benefits Owed at Death (Not Currently Receiving Pension Benefits)Form and Instruction
Form Form 707 Designation of Beneficiary for Benefits Owed at Death (Currently Receiving Pension Benefits)Form and Instruction
Form Form 702 General Information FormForm and Instruction
Form Form 701 Payee Information FormForm and Instruction
Form Form 721 Application for Eligible Rollover Payment – Non-Spouse BeneficiaryForm and Instruction
Form Form 720MP Application for Lump-Sum PaymentForm and Instruction
Form Form 715 Power of Attorney (POA)Form and Instruction
Form Form 714 Withdrawal of Employee Contributions – Non-Spouse BeneficiaryForm and Instruction
Form Form 713 Election to Withdraw Employee ContributionsForm and Instruction
Form Form 712 Uniformed Services Information FormForm and Instruction
Form Form 704 Report of Earnings and Social Security Disability InformationForm and Instruction
Form Form 703RBD-MP Application for Elective Lump-Sum Payment, post RBDForm and Instruction
Form Form 703MP Application for Elective Lump-Sum PaymentForm and Instruction
Form Form 703 Application for Elective Lump-Sum PaymentForm and Instruction
Form Form 700RSC Election of Retroactive Annuity Starting Date (Spousal Consent Required)Form and Instruction
Form Form 700RN Election of Retroactive Annuity Starting Date (Spousal Consent not Required)Form and Instruction
Form MyPBA MyPBA Screen ShotsForm and Instruction
Form MyPBA Locating and Paying ParticipantsForm and Instruction
1212-0055 Justification of Non-Material Change.01.docxJustification for No Material/Nonsubstantive Change
1212-0055 Justification of Non-Material Change.01.docx Justification for No Material/Nonsubstantive Change
Acceptable_Proofs_of_Marriage.docxSupplementary Document
Acceptable_Proofs_of_Marriage.docx Supplementary Document
Justification-Marriagecertificate v.02.docxJustification for No Material/Nonsubstantive Change
Justification-Marriagecertificate v.02.docx Justification for No Material/Nonsubstantive Change
Your Benefit Your Choice - 706V Final Ver 022023.pdfSupplementary Document
Your Benefit Your Choice - 706V Final Ver 022023.pdf Supplementary Document
Your Benefit Your Choice - 700V Final Ver 022023.pdfSupplementary Document
Your Benefit Your Choice - 700V Final Ver 022023.pdf Supplementary Document
Special Tax Notice 2024 version .pdfSupplementary Document
Special Tax Notice 2024 version .pdf Supplementary Document
Roth Account Special Tax Notice Final- post OGC-OPD 01032023.pdfSupplementary Document
Roth Account Special Tax Notice Final- post OGC-OPD 01032023.pdf Supplementary Document
Paperwork Reduction and Privacy Act 2024 v2 FINAL.docxSupplementary Document
Paperwork Reduction and Privacy Act 2024 v2 FINAL.docx Supplementary Document
Paperwork Reduction and Privacy Act (Hardship) 2024 v2 FINAL.docxSupplementary Document
Paperwork Reduction and Privacy Act (Hardship) 2024 v2 FINAL.docx Supplementary Document
Acceptable Proofs of Age -2021.pdfSupplementary Document
Acceptable Proofs of Age -2021.pdf Supplementary Document
Supporting statement paying and locating participants 2024 v8.docxSupporting Statement A
Supporting statement paying and locating participants 2024 v8.docxSupporting Statement A
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction
Locating and Paying Participants Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202511-1212-004 No material or nonsubstantive change to a currently approved collection 2025-11-24 Approved without change
202504-1212-005 No material or nonsubstantive change to a currently approved collection 2025-04-10 Approved without change
202405-1212-002 Revision of a currently approved collection 2024-05-21 Approved without change
202212-1212-002 No material or nonsubstantive change to a currently approved collection 2022-12-20 Approved without change
202107-1212-002 Revision of a currently approved collection 2021-07-07 Approved without change
202104-1212-001 No material or nonsubstantive change to a currently approved collection 2021-04-06 Approved without change
202011-1212-001 No material or nonsubstantive change to a currently approved collection 2020-11-16 Approved without change
202001-1212-003 No material or nonsubstantive change to a currently approved collection 2020-01-30 Approved without change
201902-1212-001 No material or nonsubstantive change to a currently approved collection 2019-02-01 Approved without change
201807-1212-002 Revision of a currently approved collection 2018-08-09 Approved without change
201512-1212-001 Revision of a currently approved collection 2015-12-31 Approved without change
201209-1212-003 Revision of a currently approved collection 2012-09-28 Approved without change
201008-1212-001 Revision of a currently approved collection 2010-08-09 Approved without change
200807-1212-006 Revision of a currently approved collection 2008-08-01 Approved without change
200611-1212-009 No material or nonsubstantive change to a currently approved collection 2006-12-04 Approved without change
200507-1212-001 Revision of a currently approved collection 2005-07-26 Approved without change
200302-1212-001 Extension without change of a currently approved collection 2003-02-13 Approved with change
200202-1212-001 Revision of a currently approved collection 2002-02-21 Approved without change
200101-1212-003 Revision of a currently approved collection 2001-01-17 Approved without change
200101-1212-002 Revision of a currently approved collection 2001-01-11 Approved without change
199909-1212-003 Extension without change of a currently approved collection 1999-09-28 Approved without change
199704-1212-003 Revision of a currently approved collection 1997-04-30 Approved without change
199611-1212-001 New collection (Request for a new OMB Control Number) 1996-11-19 Approved without change