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Service-Disabled Veterans Insurance - Waiver of Premiums
Service-Disabled Veterans Insurance - Waiver of Premiums
OMB: 2900-0700
IC ID: 179517
OMB.report
VA
OMB 2900-0700
ICR 201001-2900-002
IC 179517
( )
Documents and Forms
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
29-0812(4-08).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Service-Disabled Veterans Insurance - Waiver of Premiums
Agency IC Tracking Number:
2900-0700
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection 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
29-0812(4-08).pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,500
0
0
0
0
3,500
Annual IC Time Burden (Hours)
1,167
0
0
0
0
1,167
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
