Information Collection

SGLI Disability Extension Application and Instructions (SGLV 8715)

IC 211931 under ICR 201406-2900-019 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SGLV 8715 SGLI Disability Extension Application and Instructions (SGLV 8715)	Form and Instruction
SGLV 8715 SGLI Disability Extension Application and Instructions SGLV 8715.pdf www.va.gov/vaforms	Form and Instruction

IC Title:

Agency IC Tracking Number:

2900-NEW VBA-INS-DB

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 and Instruction	SGLV 8715	SGLI Disability Extension Application and Instructions	SGLV 8715.pdf	www.va.gov/vaforms	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	2,083	2,083
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.