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

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 – 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.