Locating and Paying Participants

OMB: 1212-0055

IC ID: 13603

Documents and Forms

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-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 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 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
Form 700 Participant Application for Pension Benefits Updated 2025 Form 700 Participant Application for Pension Benefits.pdf Form and Instruction
Form 700 Participant Application for Pension Benefits Updated 2025 Form 700 Participant Application for Pension Benefits.pdf Form and Instruction
Form 705 Beneficiary Application for Pension Benefits Updated 2025 Form 705 Beneficiary Application for Pension Benefits.pdf Form and Instruction
Form 705 Beneficiary Application for Pension Benefits Updated 2025 Form 705 Beneficiary Application for Pension Benefits.pdf Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF Updated 2025 Form 706 Beneficiary Application for Pension Benefits OF.pdf Form and Instruction
Form 706 Beneficiary Application for Pension Benefits - OF Updated 2025 Form 706 Beneficiary Application for Pension Benefits OF.pdf Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover Updated 2025 Form 721T Application for Payment Not Eligible for Rollover.pdf Form and Instruction
Form 721T Tax Election for Payment Not Eligible for Rollover Updated 2025 Form 721T Application for Payment Not Eligible for Rollover.pdf Form and Instruction
Form 703RBD Application for Elective Lump-Sum Payment, post RBD Updated 2025 Form 703RBD Application for Elective Lump-Sum Payment post RBD.pdf Form and Instruction
Form 703RBD Application for Elective Lump-Sum Payment, post RBD Updated 2025 Form 703RBD Application for Elective Lump-Sum Payment post RBD.pdf Form and Instruction
Form 703RBD-MP Application for Elective Lump-Sum Payment, post RBD (Mis Updated 2025 Form 703RBD-MP Application for Elective Lump-Sum Payment post RBD (Missing Participant).pdf Form and Instruction
Form 703RBD-MP Application for Elective Lump-Sum Payment, post RBD (Mis Updated 2025 Form 703RBD-MP Application for Elective Lump-Sum Payment post RBD (Missing Participant).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:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MyPBA	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 700RN	No		Paper Only
Form and Instruction	Form 700RSC	No		Paper Only
Form and Instruction	Form 703	No		Paper Only
Form and Instruction	Form 703MP	No		Paper Only
Form and Instruction	Form 703RBD-MP	No		Paper Only
Form and Instruction	Form 704	No		Paper Only
Form and Instruction	Form 712	No		Paper Only
Form and Instruction	Form 713	No		Paper Only
Form and Instruction	Form 714	No		Paper Only
Form and Instruction	Form 715	No		Paper Only
Form and Instruction	Form 720MP	No		Paper Only
Form and Instruction	Form 721	No		Paper Only
Form and Instruction	Form 701	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 702	No		Paper Only
Form and Instruction	Form 707	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 708	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 710	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 711	No		Paper Only
Form and Instruction	Form 716	No		Paper Only
Form and Instruction	Form 716A	No		Paper Only
Form and Instruction	Form 717	No		Paper Only
Form and Instruction	Form 720	No		Paper Only
Form and Instruction	Form 720CD	No		Paper Only
Form and Instruction	Form 722	No		Paper Only
Form and Instruction	713RBD	No		Paper Only
Form and Instruction	714RBD	No		Paper Only
Form and Instruction	720MP Roth	No		Paper Only
Form and Instruction	703MP Roth	No		Paper Only
Form and Instruction	Form 700	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 705	No		Paper Only
Form and Instruction	Form 706	No		Paper Only
Form and Instruction	Form 721T	No		Paper Only
Form and Instruction	Form 703RBD	No		Paper Only
Form and Instruction	Form 703RBD-MP	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	136,081	136,081
Annual IC Time Burden (Hours)	101,703	101,703
Annual IC Cost Burden (Dollars)	60,742	60,742

Documents for IC

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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