Locating and Paying Participants

Locating and Paying Participants

OMB: 1212-0055

IC ID: 13603

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Privacy Notices
Other-Tax Notice
Other-Paperwork Reduction Act Notice
Other-Screen shots of MyPBA
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Locating and Paying Participants
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form 713 Election to Withdraw Employee Contributions e_Form713 revised.docx No   Paper Only
Form and Instruction Form 714 Withdrawal of Employee Contributions – Non-Spouse Beneficiary e_Form714 revised.xml No   Paper Only
Form and Instruction Form 715 Power of Attorney (POA) Form 715.xml Yes No Printable Only
Form and Instruction Form 716 Certification of Social Security Disability Status Form 716.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 716A Certification of Pension Plan Disability Status Form 716A.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 718 Installment Payment Agreement e_Form718 revised.docx No   Paper Only
Form and Instruction Form 719 Election to Withhold Federal Income Tax from Periodic Payments e_Form719 revised.xml Yes Yes Fillable Fileable
Form and Instruction Form 720 Application for Lump-Sum Payment e_Form720 revised.docx Yes Yes Fillable Fileable Signable
Form and Instruction Form 720CD Application for Lump-Sum Payment 720CD.xml No   Paper Only
Form and Instruction Form 720MP Application for Lump-Sum Payment - Missing Participant e_Form720MP revised.docx No   Paper Only
Form and Instruction Form 721 Application for Payment Eligible for Rollover – Non-Spouse Beneficiary e_Form721 revised.xml No   Paper Only
Form and Instruction Form 721T Tax Election for Single Payment Not Eligible for Rollover e_Form721T new.docx No   Paper Only
Form and Instruction Form 722 Financial Statement of Debtor Form 722.xml No   Paper Only
Other-Privacy Notices Privacy Act Notices.xml No   Paper Only
Other-Tax Notice Special Tax Notice.docx No   Paper Only
Other-Paperwork Reduction Act Notice PRA Notice 2012.docx.doc No   Paper Only
Other-Screen shots of MyPBA Modernized MyPBA Screen Mockups 2012-09-28.docx No   Paper Only
Form and Instruction Form 700 Participant Application for Pension Benefits e_Form700 revised.docx Yes Yes Fillable Fileable Signable
Form and Instruction Form 701 Payee Information Form e_Form701 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 702 General Information Form Form 702.xml No   Paper Only
Form and Instruction Form 703 Application for Elective Lump-Sum Payment e_Form703 revised.docx No   Paper Only
Form and Instruction Form 703MP Application for Elective Lump-Sum Payment - Missing Participant e_Form703MP revised.xml No   Paper Only
Form and Instruction Form 704 Report for Earnings and Social Security Disability Information e_Form704 revised.docx No   Paper Only
Form and Instruction Form 705 Beneficiary Application for Pension Benefits e_Form705 revised.docx Yes Yes Fillable Fileable Signable
Form and Instruction Form 706 Beneficiary Application for Pension Benefits - OF e_Form706 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 707 Designation of Beneficiary for Benefits Owed at Death e_Form707 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 708 Designation of Beneficiary e_Form708 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 709 Plan Participation Information e_Form709.xml No   Paper Only
Form and Instruction Form 710 Application for Electronic Direct Deposit e_Form710 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 711 Change of Beneficiary for Certain & Continuous (C&C) Benefits Only e_Form711 revised.xml Yes Yes Fillable Fileable Signable
Form and Instruction Form 712 Uniformed Services Information Form Form 712.xml No   Paper Only

Income Security General Retirement and Disability

 

102,050 0
   
Individuals or Households
 
   10 %

  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 102,050 0 0 17,250 0 84,800
Annual IC Time Burden (Hours) 87,500 0 0 20,450 0 67,050
Annual IC Cost Burden (Dollars) 2,270 0 0 -1,460 0 3,730

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.

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