Information Collection

Insurance, Life Insurance

IC 28113 under ICR 200706-2900-031 · OMB 2900-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-336 Insurance, Life Insurance	Form
29-336 Designation of Beneficiary 29-336.pdf www.va.gov/vaforms	Form

IC Title:

Insurance, Life Insurance

Agency IC Tracking Number:

2900-0020

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	29-336	Designation of Beneficiary	29-336.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 83,500

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	Previously Approved
Annual Number of Responses for this IC	83,500	83,500
Annual IC Time Burden (Hours)	13,917	13,917
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.