Application for Cash Surrender or Policy Loan

ICR 201302-2900-009

OMB: 2900-0012

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2013-08-05
IC Document Collections
IC ID
Document
Title
Status
28092 Modified
ICR Details
2900-0012 201302-2900-009
Historical Active 201002-2900-006
VA 2900-0012 VBA-INS-NK
Application for Cash Surrender or Policy Loan
Extension without change of a currently approved collection   No
Regular
Approved without change 10/30/2013
Retrieve Notice of Action (NOA) 08/16/2013
  Inventory as of this Action Requested Previously Approved
10/31/2016 36 Months From Approved 10/31/2013
29,636 0 29,636
4,939 0 4,939
0 0 0

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.

US Code: 38 USC 1944 Name of Law: null
   US Code: 38 USC 1906 Name of Law: null
  
None

Not associated with rulemaking

  78 FR 58 03/26/2013
78 FR 155 08/12/2013
No

1
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

  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
No
No

$139,300
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/16/2013


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