Locating and Paying Participants

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

The latest form for Locating and Paying Participants expires 2021-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form MyPBA Locating and Paying Participants Form and Instruction
Your Benefit Your Choice - 706V Final Ver 022023.pdf Supplementary Document
Your Benefit Your Choice - 700V Final Ver 022023.pdf Supplementary Document
Special Tax Notice 2024 version .pdf Supplementary Document
Roth Account Special Tax Notice Final- post OGC-OPD 01032023.pdf Supplementary Document
Paperwork Reduction and Privacy Act 2024 v2 FINAL.docx Supplementary Document
Paperwork Reduction and Privacy Act (Hardship) 2024 v2 FINAL.docx Supplementary Document
Acceptable Proofs of Age -2021.pdf Supplementary Document
Supporting statement paying and locating participants 2024 v8.docx Supporting Statement A
Locating and Paying Participants Form and Instruction

All Historical Document Collections

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