Information Collection

Application for Conversion (Government Life Insurance)

IC 28374 under ICR 202104-2900-008 · OMB 2900-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0149 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-0152 Application for Conversion (Government Life Insurance)	Form
29-0152 APPLICATION FOR CONVERSION GOVERNMENT LIFE INSURANCE VA Form 29-0152.pdf www.va.gov/vaforms	Form
29-0152 APPLICATION FOR CONVERSION GOVERNMENT LIFE INSURANCE VA Form 29-0152.pdf www.va.gov/vaforms	Form

IC Title:

Application for Conversion (Government Life Insurance)

Agency IC Tracking Number:

2900-0149 VBA-INS-YM

Is this a Common Form? No

IC Status: Modified

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	29-0152	APPLICATION FOR CONVERSION GOVERNMENT LIFE INSURANCE	VA Form 29-0152.pdf	www.va.gov/vaforms	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,125	1,125
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.