Certificate Showing Residence and Heirs of Deceased Veterans and Beneficiary

ICR 199811-2900-012

OMB: 2900-0469

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0469 199811-2900-012
Historical Active 199508-2900-002
VA
Certificate Showing Residence and Heirs of Deceased Veterans and Beneficiary
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 01/22/1999
Retrieve Notice of Action (NOA) 11/23/1998
Approved for use through 1/2002 undr the condition that the VA immediately incorporates the new disclosure statments mandated by the Paperwork Reduction Act of 1995. For the public record, the VA must submit to OMB the revised forms/instructions.
  Inventory as of this Action Requested Previously Approved
04/30/2002 04/30/2002
2,078 0 0
1,039 0 0
0 0 0

This form is used by VA to solicit information to establish entitlement to Government life insurance proceeds. The information on the form is required by law, 38 U.S.C. 1917 and 1950.

None
None


No

1
IC Title Form No. Form Name
Certificate Showing Residence and Heirs of Deceased Veterans and Beneficiary 29-541

  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 2,078 0 0 2,078 0 0
Annual Time Burden (Hours) 1,039 0 0 1,039 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/23/1998


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