№ files_lp_4_process_1_36059
File format: docx Character count: 4317 File size: 52 KB
Form 702 collects personal, employment, and beneficiary information from pension plan participants, beneficiaries, and alternate payees to document entitlement and designation for pension benefits under PBGC oversight.
Year: 2015
Organization: Pension Benefit Guaranty Corporation
Document Type: Form / Information Collection
Region: United States
Plan Name: FX.PrismCase.CaseTitle.XF
Plan Number: FX.PrismCase.CaseIdNmbr.XF
Date Printed: 12/14/2015
Date of Plan Termination: FX.PrismCase.DOPT.XF
Target Audience: Plan participants, beneficiaries, alternate payees
Required Proof: Birth certificate, passport, marriage certificate, death certificate, QDRO
OMB Approval Number: 1212-0055
Expiration Date: xx/xx/xx
Price: 8 / 10 USD
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Election to Withhold Federal Income Tax from Periodic Payments (PBGC Form 719)
Organization: Pension Benefit Guaranty Corporation
Form Number: 719
OMB Approval Number: 1212-0055
Date Printed: 12/14/2015
Type of Document: Federal tax withholding election form
Subject: Federal income tax withholding from pension payments
Applicable Year Reference: 2015
Issuing Authority: Pension Benefit Guaranty Corporation
Contact Information: PBGC Customer Contact Center 1-800-400-7242
Related Form: IRS Form W-4P
Place of Issue: Alexandria, Virginia
Beneficiary Application for Pension Benefits (PBGC Form 705)
Year: 2020
Country: United States
Organization: Pension Benefit Guaranty Corporation
Form Number: 705
OMB Control Number: 1212-0055
OMB Expiration Date: 10/31/2021
Document Type: Government benefits application form
Subject: Pension benefit payments to beneficiaries or alternate payees
Intended Applicants: Beneficiaries of deceased plan participants and alternate payees under a Qualified Domestic Relations Order
Payment Methods: Electronic Direct Deposit (EDD), Electronic Transfer Account (ETA), paper check by mail
Taxation Section: Federal income tax withholding election
Legal Reference: Title 18, Section 1001, United States Code
Contact Address: P.O. Box 151750, Alexandria, Virginia 22315-1750
Contact Phone: 1-800-400-7242
7.02 DARATUMUMAB, Solution for I.V. infusion 100 mg in 5 mL vial, Solution for I.V. infusion 400 mg in 20 mL vial, Solution for S.C. injection 1,800 mg in 15 mL vial, Darzalex®, Janssen-Cilag Pty Ltd.
Year: 2025
Region / City: Australia
Topic: Pharmaceutical submission for drug listing
Document Type: Pharmaceutical submission
Organization: Janssen-Cilag Pty Ltd
Author: Not specified
Target Audience: Healthcare professionals, regulatory authorities
Validity Period: Not specified
Approval Date: Not specified
Date of Changes: March 2025
Note: Context
Electronic Insurance Verification and Interfacility Insurance Update Interfaces Integrated Billing Version 2.0 Technical Manual / Security Guide Patch IB2.0184, 246, 252, 271, 316, 300, 416, 444, 438, 497, 506, 525, 528, 549, 582, 593, 601, 595, 621, 602, 631, 652, 659, 664, 668, 687, 702, 713 September 2003 Revised: August 2022
Year: 2003
Region / City: United States
Topic: Insurance Verification, Billing Systems, Healthcare IT
Document Type: Technical Manual / Security Guide
Organization: Department of Veterans Affairs, Office of Information and Technology
Author: MCCF EDI TAS eInsurance
Intended Audience: Technical personnel for installation and maintenance of the software
Effective Period: Ongoing updates
Approval Date: September 2003
Revision Date: August 2022
Newly Constructed Affordable Rental Apartments at 702 Vandalia Ave, Brooklyn, 2020
Year: 2020
Location: Brooklyn, New York, USA
Topic: Affordable Housing
Document Type: Announcement / Application Notice
Organization: Fountain Seaview LP – B2
Author: Fountain Seaview LP – B2
Target Audience: Low- and moderate-income applicants
Program: Low-Income Housing Credit Program (LIHC) and NYS Low-Income Housing Tax Credit Program (SLIHC)
Application Deadline: September 14, 2020
Lottery Date: September 21, 2020
Housing Units: 51 apartments (16 studios, 7 one-bedroom, 28 two-bedroom)
Accessibility: Compliant with Fair Housing Act and Section 504 of the Rehabilitation Act
Website References: www.progressivemgmt.net
Note: , www.nyc.gov/housing
USA/6613/B(U) Revision 25 – ADR/RID validation of QSA Global Inc. Type B(U) package design for Model 702
Year: 2025
Region / City: Great Britain
Subject: Nuclear Safety, Transport of Radioactive Materials
Document Type: Project Assessment Report
Organization / Institution: Office for Nuclear Regulation (ONR)
Author: QSA Global Incorporated
Target Audience: Regulatory Authorities, Safety Inspectors, Nuclear Transport Professionals
Validity Period: Until 29 February 2028
Approval Date: December 2025
Amendment Date: Not specified
Topics: 12142015 PBGC 702