VA MATIC Enrollment/Change

VA MATIC Enrollment/Change (VA Form 29-0165)

OMB: 2900-0525

IC ID: 28715

Information Collection (IC) Details

View Information Collection (IC)

VA MATIC Enrollment/Change 2900-0525
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 29-0165 VA MATIC Enrollment/Change 29-0165(11-9-22).pdf Yes No Fillable Printable

General Government Legislative Functions

36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance -VA  88 FR 1032

5,000 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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 417 0 -833 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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