Information Collection

Claim for One Sum Payment (Government Life Insurance), VA Form 29-4125, Claim for Monthly Payments (National Service Life Insurance), VA Form 29-4125a, and Claim for Monthly Payments...

IC 28196 under ICR 200507-2900-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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 One Sum Payment (Government Life Insurance), VA Form 29-4125, Claim for Monthly Payments (National Service Life Insurance), VA Form 29-4125a, and Claim for Monthly Payments...	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	29-4125	No	No
Form	29-4125A	No	No
Form	29-4125K	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 84,350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	84,350	-1,500	85,850
Annual IC Time Burden (Hours)	8,787	-151	8,938
Annual IC Cost Burden (Dollars)	0	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.