Information Collection

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

IC 257556 under ICR 202301-2900-001 · OMB 2900-0919.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0919 can be found here:

Documents and Forms

Document Name Document Type
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
SGLV 8600 Application for TSGLI Benefits SGLV 8600.pdf www.benefits.va.gov/insurance/ Form
SGLV 8600 Application for TSGLI Benefits SGLV_8600_ed2023-04.pdf www.benefits.va.gov/insurance/ Form
SGLV 8600A TSGLI Appeal Request Form SGLV 8600A.pdf www.benefits.va.gov/insurance/ Form
SGLV 8600A TSGLI Appeal Request Form SGLV_8600A_ed2023-04.pdf www.benefits.va.gov/insurance/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Servicemembers' Group Life Insurance â Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SGLV 8600	Application for TSGLI Benefits	SGLV_8600_ed2023-04.pdf	https://www.benefits.va.gov/insurance/	No		Fillable Printable
Form	SGLV 8600A	TSGLI Appeal Request Form	SGLV_8600A_ed2023-04.pdf	https://www.benefits.va.gov/insurance/	No		Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance Records-VA	FR Citation: 87 FR 28324

Number of Respondents: 758	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	758	0	758
Annual IC Time Burden (Hours)	7,580	7,390	190
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.