Information Collection

Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance

IC 28113 under ICR 202301-2900-003 · OMB 2900-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0020 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 29-336 Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance Form
Form VA Form 29-336 Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance Form
VA Form 29-336 Designation of Beneficiary - Government Life Insurance 29-336(1-18-23).pdf www.va.gov/vaforms Form
VA Form 29-336 Designation of Beneficiary - Government Life Insurance 29-336(1-18-23).pdf www.va.gov/vaforms Form
VA Form 29-336a Supplemental Designation of Beneficiary - Government Lif 29-336a(1-18-23).pdf www.va.gov/vaforms Form
VA Form 29-336a Supplemental Designation of Beneficiary - Government Lif 29-336a(1-18-23).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance	Agency IC Tracking Number:	2900-0020

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 29-336	Designation of Beneficiary - Government Life Insurance	29-336(1-18-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 29-336a	Supplemental Designation of Beneficiary - Government Life Insurance	29-336a(1-18-23).pdf	www.va.gov/vaforms	Yes	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 - VA	FR Citation: 85 FR 8928

Number of Respondents: 83,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	83,500	83,500
Annual IC Time Burden (Hours)	13,917	13,917
Annual IC Cost Burden (Dollars)	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.