Application for Cash Surrender or Policy Loan

ICR 200406-2900-004

OMB: 2900-0012

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
28092 Migrated
ICR Details
2900-0012 200406-2900-004
Historical Active 200105-2900-001
VA
Application for Cash Surrender or Policy Loan
Extension without change of a currently approved collection   No
Regular
Approved without change 07/27/2004
Retrieve Notice of Action (NOA) 06/15/2004
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007 07/31/2004
29,636 0 29,636
4,939 0 4,939
0 0 0

These forms are used by the insured to apply for surrender or loan. The information on these forms are required by law, 38 USC 1906, 1944, 38 CFR 6.115, 6.116, 6.117, 6.100, 6.101 and 8.28.

None
None


No

1
IC Title Form No. Form Name
Application for Cash Surrender or Policy Loan 29-1546, 29-1546-1

  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 29,636 29,636 0 0 0 0
Annual Time Burden (Hours) 4,939 4,939 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
06/15/2004


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