DESIGNATION OF BENEFICIARY AND OPTIONAL SETTLEMENT

ICR 197704-2900-003

OMB: 2900-0020

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
146556 Migrated
ICR Details
2900-0020 197704-2900-003
Historical Active 197701-2900-067
VA
DESIGNATION OF BENEFICIARY AND OPTIONAL SETTLEMENT
Revision of a currently approved collection   No
Regular
Approved without change 04/28/1977
Retrieve Notice of Action (NOA) 04/25/1977
  Inventory as of this Action Requested Previously Approved
04/30/1982 04/30/1982 04/30/1981
177,000 0 177,000
29,500 0 29,500
0 0 0

THE COMPLETED APPLICATION IS REQUIRED BY LAW, 38 U.S.C. 717, 749 AND 752. THE INFORMATION COLLECTED IS USED IN THE MAINTENANCE OF THE INSURANCE CONTRACT.

None
None


No

1
IC Title Form No. Form Name
DESIGNATION OF BENEFICIARY AND OPTIONAL SETTLEMENT VA29-336

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 177,000 177,000 0 0 0 0
Annual Time Burden (Hours) 29,500 29,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/25/1977


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