Application for Supplemental Service Disabled Veterans Insurance

ICR 201304-2900-035

OMB: 2900-0539

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0539 201304-2900-035
Historical Active 201008-2900-002
VA 2900-0539 VBA-INS-NK
Application for Supplemental Service Disabled Veterans Insurance
Extension without change of a currently approved collection   No
Regular
Approved without change 12/13/2013
Retrieve Notice of Action (NOA) 09/30/2013
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved 03/31/2014
10,000 0 10,000
3,333 0 3,333
0 0 0

The forms are used to apply for Supplemental Service Disabled Insurance.

US Code: 38 USC 1922 Name of Law: Service disabled veterans' insurance
   PL: Pub.L. 102 - 568 203 Name of Law: Supplemental Service Disabled Veterans' Insurance For Totally Disabled Veterans
  
None

Not associated with rulemaking

  78 FR 118 06/19/2013
78 FR 185 09/24/2013
No

  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 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 3,333 3,333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$79,900
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.
09/30/2013


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