Insurance, Life Insurance

ICR 200706-2900-031

OMB: 2900-0020

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2007-06-27
IC Document Collections
IC ID
Document
Title
Status
28113 Modified
ICR Details
2900-0020 200706-2900-031
Historical Active 200406-2900-005
VA 2900-0020
Insurance, Life Insurance
Extension without change of a currently approved collection   No
Regular
Approved without change 08/10/2007
Retrieve Notice of Action (NOA) 06/27/2007
Approved consistent with the following terms of clearance: in the next submission of this collection to OMB for review VA will report on Dept efforts to provide a fully electronic format for the completion and submission of forms.
  Inventory as of this Action Requested Previously Approved
08/31/2010 36 Months From Approved 08/31/2007
83,500 0 83,500
13,917 0 13,917
0 0 0

This form is used to designate a beneficiary and/or optional settlement. The information on the form is required by law, Title 38, USC Sections 1917, 1949 and 1952.

US Code: 38 USC Section 1949 Name of Law: Change of Beneficiary
   US Code: 38 USC Section 1952 Name of Law: Optional Settlement
   US Code: 38 USC Section 1917 Name of Law: Insurance Maturing on or after August 1, 1946
  
None

Not associated with rulemaking

  72 FR 62 04/02/2007
72 FR 118 06/20/2007
No

1
IC Title Form No. Form Name
Insurance, Life Insurance 29-336 Designation of Beneficiary

  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 83,500 83,500 0 0 0 0
Annual Time Burden (Hours) 13,917 13,917 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$86,716
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]

  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.
06/27/2007


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