Application for Cash Surrender or Policy Loan

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 29-1546 Application for Cash Surrender or Policy Loan	Form	Modified	Repair queued
2900-0012 - 08.05.13.doc	Supporting Statement A	Uploaded 2013-08-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28092	Application for Cash Surrender or Policy Loan	Form	Modified

ICR Details

OMB Control No: 2900-0012	ICR Reference No: 201302-2900-009
Status: Historical Active	Previous ICR Reference No: 201002-2900-006
Agency/Subagency: VA	Agency Tracking No: 2900-0012 VBA-INS-NK
Title: Application for Cash Surrender or Policy Loan
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2013
	Date Received in OIRA: 08/16/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2016	36 Months From Approved	10/31/2013
Responses	29,636	0	29,636
Time Burden (Hours)	4,939	0	4,939
Cost Burden (Dollars)	0	0	0

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Abstract: These forms are used by the insured to apply for a loan and/or cash surrender. The information requested on the form is authorized by law, 38 USC 1906, 1944, 38 CFR 6.115, 6.116, 6.117, 6.100, 6.101 and 8.28.

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Authorizing Statute(s): US Code: 38 USC 1944 Name of Law: null
   US Code: 38 USC 1906 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 58	03/26/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 155	08/12/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Cash Surrender or Policy Loan	29-1546, VA Form 29-1546-1	Application for Cash Surrender and/or Policy Loan ,   Application for Policy Loan/Cash Surrender

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ICR Summary of Burden

table that charts list of burden

	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	29,636	29,636	0	0	0	0
Annual Time Burden (Hours)	4,939	4,939	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $139,300

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/16/2013

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