Information Collection

Claim For Monthly Payments Of United States Government Life Insurance

IC 174541 under ICR 198608-2900-058 · OMB 2900-0225.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

CLAIM FOR MONTHLY PAYMENTS OF UNITED STATES GOVERNMENT LIFE INSURANCE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-4125K				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,453

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,700	4,247	1,453
Annual IC Time Burden (Hours)	1,425	1,062	363
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.