Information Collection

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

IC 28113 under ICR 202410-2900-016 · OMB 2900-0020.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-336a Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance	Form
29-336a Supplemental Designation of Beneficiary - Government Lif VA Form 29-336a - PRA Corrections (12-23-24).pdf www.va.gov/vaforms	Form
29-336 Designation of Beneficiary - Government Life Insurance VA Form 29-336 (508 Conformant 12-6-24).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0020

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-336a	Supplemental Designation of Beneficiary - Government Life Insurance	VA Form 29-336a - PRA Corrections (12-23-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	29-336	Designation of Beneficiary - Government Life Insurance	VA Form 29-336 (508 Conformant 12-6-24).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: 88 FR 13529

Number of Respondents: 83,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	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

table that charts IC Documents
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.