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Agenda
Reg Review
ICR
View Information Collection (IC)
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:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
102,050
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
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.