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Federal forms, ICRs, and supporting documents

Information Collection

Claim for One Sum Payment (Government Life Insurance), Claim for Monthly Payments (National Service Life Insurance), and Claim for Monthly Payments, U.S. Government Insurance

IC 28196 under ICR 202408-2900-009 · OMB 2900-0060.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Claim for One Sum Payment (Government Life Insurance), Claim for Monthly Payments (National Service Life Insurance), and Claim for Monthly Payments, U.S. Government Insurance 2900-0060
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 29-4125 Claim for One Sum Payment (Government Life Insurance) 29-4125(10-10-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 29-4125a Claim for Monthly Payments National Service Life Insurance 29-4125a(10-10-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 29-4125e (DocuSign) Claim for One Sum Payment (Government Life Insurance) 29-4125e (DocuSign) (10-10-24).pdf www.va.gov/insurance Yes Yes Fillable Fileable Signable

General Government Legislative Functions

36VA29, Veterans and Uniformed Services Personnel Program of U.S. Government Life Insurance - VA  89 FR 73508

120,100 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 120,100 0 0 0 0 120,100
Annual IC Time Burden (Hours) 12,010 0 0 0 0 12,010
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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