DESIGNATION OF BENEFICIARY AND OPTIONAL SETTLEMENT

ICR 198409-2900-019

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
174067 Migrated
ICR Details
2900-0020 198409-2900-019
Historical Active 198312-2900-022
VA
DESIGNATION OF BENEFICIARY AND OPTIONAL SETTLEMENT
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/18/1984
Approved with change 09/18/1984
Retrieve Notice of Action (NOA) 09/18/1984
  Inventory as of this Action Requested Previously Approved
12/31/1986 12/31/1986 12/31/1986
110,000 0 202,941
17,412 0 34,500
0 0 0

THE FORM IS USED BY THE INSURED TO DESIGNATE A BENEFICIARY AND SELECT AN OPTIONAL SETTLEMENT TO BE USED WHEN THE INSURANCE MATURES BY DEATH. THE INFORMATION ON THE FORM IS REQUIRED TO DETERMINE THE CLAIMANTS ELIGIBILITY TO RECEIVE THE PROCEEDS. (38 USC 717, 749 & 752)

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 110,000 202,941 0 -92,941 0 0
Annual Time Burden (Hours) 17,412 34,500 0 -17,088 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
09/18/1984


© 2024 OMB.report | Privacy Policy