30-Day FRN

2019-02232.pdf

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

30-Day FRN

OMB: 2900-0016

Document [pdf]
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Federal Register / Vol. 84, No. 31 / Thursday, February 14, 2019 / Notices
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: Claim for One Sum Payment
Government Life Insurance (VA Form
29–4125). Claim for Monthly Payments
Government Life Insurance (VA Form
29–4125a).
OMB Control Number: 2900–0060.
Type of Review: Revision of a
currently approved collection.
Abstract: These forms are used by
beneficiaries applying for proceeds of
Government Life Insurance policies.
The information requested on the forms
is required by law, 38 U.S.C. Sections
1917 and 1952.
Affected Public: Individuals and
households.
Estimated Annual Burden: 12,010
hours.
Estimated Average Burden per
Respondent: 6 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
120,100.
By direction of the Secretary:
Danny S. Green,
Interim VA Clearance Officer, Office of
Quality, Performance and Risk, Department
of Veterans Affairs.
[FR Doc. 2019–02238 Filed 2–13–19; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0016]

Agency Information Collection Activity
Under OMB Review: Claim for
Disability Insurance Benefits,
Government Life Insurance
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Veterans Benefits Administration,
Department of Veterans Affairs, will
submit the collection of information
abstracted below to the Office of
Management and Budget (OMB) for
review and comment. The PRA
submission describes the nature of the
information collection and its expected
cost and burden and it includes the
actual data collection instrument.
DATES: Comments must be submitted on
or before March 18, 2019.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St NW,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0016’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Danny S. Green, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
SUMMARY:

PO 00000

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NW, Washington, DC 20420, (202) 421–
1354 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0016’’ in any correspondence.
SUPPLEMENTARY INFORMATION:

Authority: 44 U.S.C. 3501–21.
Title: Claim for Disability Insurance
Benefits, Government Life Insurance
(VA Form 29–357).
OMB Control Number: 2900–0016.
Type of Review: Reinstatement.
Abstract: VA Forms 29–357 is used by
the policyholder to claim disability
insurance benefits on S–DVI, NSLI and
USGLI policies. The information
requested is authorized by law, 38
U.S.C. 1912, 1915, 1922, 1942 and 1948.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published at 83 FR
12328 on June 8, 2018, page 26748.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 14,175.
Estimated Average Burden per
Respondent: 1 Hour and 45 minutes.
Frequency of Response: Once.
Estimated Number of Respondents:
8,100.
By direction of the Secretary:
Danny S. Green,
Interim VA Clearance Officer, Office of
Quality, Performance and Risk, Department
of Veterans Affairs.
[FR Doc. 2019–02232 Filed 2–13–19; 8:45 am]
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