Application for Service-Disabled Veterans Insurance (29-0151, 29-4364)

Application for Service-Disabled Veterans Insurance (VA Forms 29-0151 & 29-4364)

OMB: 2900-0068

IC ID: 28215

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Document Name
Document Type
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Form
Form
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Application for Service-Disabled Veterans Insurance (29-0151, 29-4364) 2900-0068
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 29-4364 Application for Service-Disabled Veterans Insurance VA Form 29-4364 (OMB Exp. 6-30-21).pdf www.va.gov/vaforms Yes No Fillable Printable
Form 21-0151 Application for Service-Disabled Veterans Insurance VA Form 29-0151 (OMB Exp. 6-30-21).pdf Laser Printing No   Paper Only

General Government Legislative Functions

 

25,000 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 25,000 0 0 0 25,000 0
Annual IC Time Burden (Hours) 8,333 0 0 0 8,333 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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