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-Screen shots
Other-Notice
Other-Notice
Other-Notice
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 701 Payee Information e_Form 701- Payee Information.docx No   Paper Only
Form and Instruction Form 702 General Information e_Form 702 General Information Form.docx No   Paper Only
Form and Instruction Form 703 Application for Elective Lump-Sum Payment e_Form 703 Application for Elective Lump-Sum Payment.docx No   Paper Only
Form and Instruction Form 703MP Application for Elective Lump-Sum Payment e_Form 703MP Application for Elective Lump-sum Payment.docx No   Paper Only
Form and Instruction Form 704 Report of Earnings and Social Security Disability Information e_Form 704 Report of Earnings and Social Security Disability Information.docx No   Paper Only
Form and Instruction Form 700 Participant Application for Pension Benefits e_Form 700 Participant Application for Pension Benefits.docx No   Paper Only
Form and Instruction Form 705 Beneficiary Application for Pension Benefits e_Form 705 Beneficiary Application for Pension Benefits.docx No   Paper Only
Form and Instruction Form 706 Beneficiary Application for Pension Benefits e_Form 706 Beneficiary Application for Pension Benefits - OF.docx No   Paper Only
Form and Instruction Form 707 Designation of Beneficiary for Benefits Owed at Death e_Form 707 Designation of Beneficiary for Benefits Owed at Death.docx No   Paper Only
Form and Instruction Form 708 Designation of Beneficiary e_Form 708 Designation of Beneficiary.docx No   Paper Only
Form and Instruction Form 709 Plan Participant Information e_Form 709 Plan Participant Information.docx No   Paper Only
Form and Instruction Form 710 Application for Direct Deposit e_Form 710 Application for Direct Deposit.docx No   Paper Only
Form and Instruction Form 711 Change of Beneficiary for Certain Continuous Benefits Only e_Form 711 Change of Beneficiary for Certain continuous (CC) Benefits Only.docx No   Paper Only
Form and Instruction Form 712 Uniformed Services Information Form e_Form 712 Uniformed Services Information Form.docx No   Paper Only
Form and Instruction Form 713 Election fot Withdraw Employee Contributions e_Form 713 Election to Withdraw Employee Contributions.docx No   Paper Only
Form and Instruction Form 714 Withdrawal of Employee Contributiions e_Form 714 Withdrawal of Employee Contributions - Non-Spouse Beneficiary.docx No   Paper Only
Form and Instruction Form 716 Certification of Social Security Disability e_Form 716 Certification of Social Security Disability Status.docx No   Paper Only
Form and Instruction Form 716A Certificate of Pension Plan Disability Status e_Form 716A Certificate of Pension Plan Disability Status.docx No   Paper Only
Form and Instruction Form 718 Installment Payment Agreement e_Form 718 Installment Payment Agreement.docx No   Paper Only
Form and Instruction Form 719 Election to Withhold Federal Income Tax from Periodic Payment e_Form 719 Election to Withhold Federal Income Tax from Periodic Payment.docx No   Paper Only
Form and Instruction Form 720 Application for Lump-Sum Payment e_Form 720 Application for Lump-Sum Payment.docx No   Paper Only
Form and Instruction Form 720CD Application for Lump-Sum Payment e_Form720CD Application for Lump-Sum Payment.docx No   Paper Only
Form and Instruction Form 720MP Application for Lump-Sum Payment e_Form720MP Application for Lump-Sum Payment.docx No   Paper Only
Form and Instruction Form 721 Application for Eligible Rollover Payment - Non-Spouse Beneficiary e_Form721 Application for Eligible Rollover Payment - Non-Spouse Beneficiary.docx No   Paper Only
Form and Instruction Form 721T Tax Election for Payment Not Eligible for Rollover e_Form721T Tax Election for Payment Not Eligible for Rollover.docx No   Paper Only
Form and Instruction Form 722 Financial Statement of Debtor e_Form722 Financial Statement of Debtor.docx No   Paper Only
Other-Screen shots MyPBA screens related to PBGC forms.docx Yes Yes Fillable Fileable
Other-Notice Privacy Act Notice - Long.docx No   Paper Only
Other-Notice Privacy Act Notice - Short.docx No   Paper Only
Other-Notice Privacy Act Notice Hardship.docx No   Paper Only
Form and Instruction Form 717 Benefit Inquiry Questionnaire Form 717 - Benefit Inquiry Questionnaire.pdf No   Paper Only

Income Security General Retirement and Disability

 

54,310 0
   
Individuals or Households
 
   0 %

  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 54,310 0 0 -47,740 0 102,050
Annual IC Time Burden (Hours) 126,090 0 0 38,590 0 87,500
Annual IC Cost Burden (Dollars) 1,360 0 0 -910 0 2,270

Title Document Date Uploaded
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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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