Information Collection

Claim For Life Insurance Proceeds (nsli & Usgli), Invitation And Claim For One Sum Payment (nsli & Usgli), Claim For Monthly Installments (nsli), And Claim For Monthly Installments (usgli)

IC 146808 under ICR 199503-2900-012 · OMB 2900-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0060 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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Information Collection (IC) Details

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IC Title:

CLAIM FOR LIFE INSURANCE PROCEEDS (NSLI & USGLI), INVITATION AND CLAIM FOR ONE SUM PAYMENT (NSLI & USGLI), CLAIM FOR MONTHLY INSTALLMENTS (NSLI), AND CLAIM FOR MONTHLY INSTALLMENTS (USGLI)

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.	Available Electronically?	Can Be Submitted Electronically?
Form	29-4125	No	No
Form	29-764	No	No
Form	294125A	No	No
Form	29-4125K	No	No

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 104,000

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	104,000	104,000
Annual IC Time Burden (Hours)	13,867	13,867
Annual IC Cost Burden (Dollars)	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.