Information Collection

Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)

IC 28874 under ICR 201403-2900-005 · OMB 2900-0618.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0618 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SGLV8284 Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)	Form
SGLV8284 Servicemember's and Veterans' Group Life Insurance Accel SGLV 8284.pdf www.insurance.va.gov	Form

IC Title:

Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)

Agency IC Tracking Number:

2900-0618 VBA-INS-DB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 9.14(e)

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	SGLV8284	Servicemember's and Veterans' Group Life Insurance Accelerated Benefits Option	SGLV 8284.pdf	www.insurance.va.gov	Yes	No	Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	40	40
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.