BENEFICIARY DESIGNATION-VETERANS GROUP LIFE INSURANCE- SERVICEMEN'S GROUP LIFE INSURANCE FOR RETIRED RESERVISTS

ICR 197806-2900-005

OMB: 2900-0237

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2900-0237 197806-2900-005
Historical Active 197701-2900-063
VA
BENEFICIARY DESIGNATION-VETERANS GROUP LIFE INSURANCE- SERVICEMEN'S GROUP LIFE INSURANCE FOR RETIRED RESERVISTS
Revision of a currently approved collection   No
Regular
Approved without change 07/25/1978
Retrieve Notice of Action (NOA) 06/23/1978
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983 01/31/1980
15,000 0 15,000
3,600 0 1,000
0 0 0

THE COMPLETED DESIGNATION IS REQUIRED BY LAW, 38 C.F.R. 9.16. THE INFORMATION COLLECTED IS USED IN THE MAINTENANCE OF THE INSURANCE CONTRACT.

None
None


No

1
IC Title Form No. Form Name
BENEFICIARY DESIGNATION-VETERANS GROUP LIFE INSURANCE- SERVICEMEN'S GROUP LIFE INSURANCE FOR RETIRED RESERVISTS 29-8721

  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 15,000 15,000 0 0 0 0
Annual Time Burden (Hours) 3,600 1,000 0 0 2,600 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.
06/23/1978


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