Information Collection

Service-Disabled Veterans Insurance - Waiver of Premiums

IC 179517 under ICR 200704-2900-003 · OMB 2900-0700.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0700 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 29-0812 Service-Disabled Veterans Insurance - Waiver of Premiums	Form
VA Form 29-0812 Service-Disabled Veterans Insurance - Waiver of Premiums 2900-New VA Form 29-0812.pdf	Form

IC Title:

Service-Disabled Veterans Insurance - Waiver of Premiums

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 29-0812	Service-Disabled Veterans Insurance - Waiver of Premiums	2900-New VA Form 29-0812.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,500

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	3,500	3,500
Annual IC Time Burden (Hours)	1,167	1,167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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