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⚠️ Notice: This information collection may be referencing outdated material.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

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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:

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

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 %

	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

Title	Document	Date Uploaded

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