Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SGLV 8600A TSGLI Appeal Request Form	Form	Modified	Available
Form SGLV 8600 Application for TSGLI Benefits	Form	Modified	Available
Form SGLV 8600 Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)	Form	Modified	Repair queued
2023-04363.pdf	Supplementary Document	Uploaded 2023-03-03	Repair queued
Published 60-Day FRN.pdf	Supplementary Document	Uploaded 2023-01-05	Repair queued
Supporting Statement.docx	Supporting Statement A	Uploaded 2023-01-05	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257556	Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)	Form	Modified	TSGLI Appeal Request Form
257556	Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)	Form	Modified	Application for TSGLI Benefits
257556	Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)	Form	Modified

ICR Details

OMB Control No: 2900-0919	ICR Reference No: 202301-2900-001
Status: Historical Active	Previous ICR Reference No: 202210-2900-016
Agency/Subagency: VA	Agency Tracking No: VBA-INS-NK
Title: Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/12/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/03/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	36 Months From Approved	07/31/2023
Responses	758	0	758
Time Burden (Hours)	7,580	0	190
Cost Burden (Dollars)	0	0	0

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Abstract: SGLV-8600 form is used by the Department of Veterans Affairs to request information in order to adjudicate TSGLI claims for benefits. The form is filled out by members or former members of the uniformed services who have suffered a traumatic injury while in service, and the uniformed services approve or disapprove the claim. If the uniformed services approve the TSGLI claim, then the insurer for the TSGLI program, The Prudential Insurance Company of America (Prudential), pays the claim. The form is authorized by 38 USC 1980A and 38 CFR 9.20. SGLV 8600a form is used by the Department of Veterans Affairs to request information in order to adjudicate TSGLI appeals for benefits. The form is filled out by members or former members of the uniformed services who have suffered a traumatic injury while in service and had their TSGLI claim disapproved. The form is authorized by 38 USC 1980A and 38 CFR 9.20.

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Authorizing Statute(s): US Code: 38 USC 1980A Name of Law: Traumatic Injury Protection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 28324	12/29/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 4363	03/03/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)	SGLV 8600, SGLV 8600A	Application for TSGLI Benefits ,   TSGLI Appeal Request Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	758	758	0	0	0	0
Annual Time Burden (Hours)	7,580	190	0	7,390	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $10,986

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/03/2023

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