Information Collection

Traumatic Injury Protection (TSGLI)

IC 44128 under ICR 200903-2900-008 · OMB 2900-0671.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SGLV 8600 Traumatic Injury Protection (TSGLI)	Form
SGLV 8600 Servicemembers' Group Life Insurance Traumatic Injury Pr SGLV 8600(10-08).pdf www.insurance.va.gov	Form

IC Title:

Agency IC Tracking Number:

2900-0671

Is this a Common Form? No

IC Status: Unchanged

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	SGLV 8600	Servicemembers' Group Life Insurance Traumatic Injury Protection Program Application for TSGLI Benefits	SGLV 8600(10-08).pdf	www.insurance.va.gov	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

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	1,500	1,500
Annual IC Time Burden (Hours)	1,125	1,125
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.