NOTICE OF LAPSE--NO PHYSICAL EXAMINATION REQUIRED

ICR 197707-2900-001

OMB: 2900-0128

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
147199 Migrated
ICR Details
2900-0128 197707-2900-001
Historical Active 197701-2900-021
VA
NOTICE OF LAPSE--NO PHYSICAL EXAMINATION REQUIRED
Revision of a currently approved collection   No
Regular
Approved without change 08/05/1977
Retrieve Notice of Action (NOA) 07/08/1977
  Inventory as of this Action Requested Previously Approved
07/31/1982 07/31/1982 03/31/1978
38,000 0 38,000
6,333 0 6,333
0 0 0

THE COMPLETED FORM IS REQUIRED BY 38 C.F.R. 6.79 AND 8.23. THE INFORMATION COLLECTED IS USED TO PROCESS THE APPLICANT'S REQUEST TO REINSTATE A LAPSED INSURANCE CONTRACT.

None
None


No

1
IC Title Form No. Form Name
NOTICE OF LAPSE--NO PHYSICAL EXAMINATION REQUIRED 29-389, 29-389, 29-389-1

  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 38,000 38,000 0 0 0 0
Annual Time Burden (Hours) 6,333 6,333 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.
07/08/1977


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