OMB29-0563(7-9-08)

SUPPORTING STATEMENT

VA FORM 29-0563

VETERANS MORTGAGE LIFE INSURANCE

CHANGE OF ADDRESS STATEMENT

2900-0503

JUSTIFICATION:

1. The form is used by the Department of Veterans Affairs (VA) to inquire about a veteran’s continued ownership of the property issued under Veterans Mortgage Life Insurance when an address change for the veteran is received. The information obtained is used in determining whether continued Veterans Mortgage Life Insurance coverage is applicable since the law granting this insurance provides that coverage terminates if the veteran no longer owns the property. The information requested is required by law, 38 U.S.C. Section 2106.

2. The data collected is used by insurance personnel to determine continuing eligibility for Veterans Mortgage Life Insurance.

3. VA Form 29-0563 is available on the One-VA web site in a fillable electronic format. VBA is currently hosting this form on a secure server and does not currently have the technology in place to allow for the complete submission of the form. Validation edits are performed to assure data integrity. Efforts within VA are underway to provide a mechanism to allow the information to be submitted electronically with a recognized signature technology. There currently is no utility process in place that will allow the data submitted on the form to be incorporated with an existing centralized legacy database.

4. The information is not contained in any other VA records. Similar information is not available elsewhere.

5. The information does not involve any small businesses.

6. The form is designed for use by VA to establish continued entitlement to Veterans Mortgage Life Insurance.

7. There are no special circumstances requiring that the collection of information be conducted in a manner inconsistent with the guidelines in 5 CFR Section 1320.6.

8. The Department notice was published in the Federal Register on April 21, 2008, Volume 73, Number 77, page 21411. There were no comments received in response to this notice.

9. The information collected is supplied by the respondent. No remuneration is made.

10. The information collection conforms with the Privacy Act of 1974 and is subject to the conditions of disclosure contained therein. The records are maintained in the system identified as 36VA00, “Veterans and Armed Forces Personnel United States Government Life Insurance Records - VA” as contained in the Privacy Act Issuances, 1993 Compilation.

11. There are no questions of a sensitive nature.

12. We estimate that approximately 240 forms a year will be received. We also estimate that it will take approximately 5 minutes to complete this form. We arrived at this estimate by initiating a trial with a VA staff member unfamiliar with the form. The annual burden is 20 hours. The cost to the reporting public is $300.00 (20 hours X $15/hour).

13. This submission does not involve any record keeping costs.

14. Cost to Government:

$127.00 Estimated mailing cost (240 X 2 minutes per

form X $7.45/hour (average salary for station

mail personnel) plus 240 X 27.9 cents each

(presort discount)).

$63.00 Estimated cost for collections (240 X 2 minutes

per X $7.91/hour (average salary of station collections

personnel)).

$486.00 Estimated cost for processing (240 forms X 10

minutes per form X $12.15/hour (average salary

for reviewers)).

$30.00 Estimated printing costs (1,000 X $30/1,000 forms).

$706.00 Total cost to the Government.

15. Because of a typing error which mistakenly reported the total annual hours requested as 240, the respondent burden decreased. The correct annual burden is 20 hours, not 240 as previously reported.

16. The information is collected for insurance purposes only and there are no plans for publication.

17. The collection instrument, VA Form 29-0563, may be reproduced and/or stocked by the respondents and veteran service organizations. This VA form does not display an expiration date, and if required to do so would result in unnecessary waste of existing stock of this form. This form is submitted to OMB for approval every three years. As such, this date requirement would also result in an unnecessary burden on the respondents and would delay Department action on the benefit being sought. VA also seeks to minimize its cost to itself of collecting, processing and using the information by not displaying the expiration date. For the reasons stated, VA continues to seek an exemption that waives the displaying of the expiration date on this VA Form.

18. There are no exceptions to the certification statement identified in Item 19 of

OMB Form 83-I.

Statistical Methods

This data collection does not collect employ statistical methods.