Claim for Disability Insurance Benefits, Government Life Insurance

Claim for Disability Insurance Benefits, Government Life Insurance (29-357)

OMB: 2900-0016

IC ID: 28103

Information Collection (IC) Details

View Information Collection (IC)

Claim for Disability Insurance Benefits, Government Life Insurance
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 29-357 Claim for Disability Insurance Benefits 29-357.pdf http://www.va.gov/vaforms/ Yes No Fillable Printable

General Government Legislative Functions

 

8,100 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 8,100 0 0 0 0 8,100
Annual IC Time Burden (Hours) 14,175 0 0 0 0 14,175
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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