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Federal forms, ICRs, and supporting documents

Information Collection

Claim for Disability Insurance Benefits, Government Life Insurance

IC 28103 under ICR 202412-2900-013 · OMB 2900-0016.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 29-357
Claim for Disability Insurance Benefits, Government Life Insurance		 Form
Form 29-357
Claim for Disability Insurance Benefits, Government Life Insurance Claim for Disability Insurance Benefits, Government Life Insurance		 Form
29-357 Claim for Disability Insurance Benefits, Government Life
VBA-29-357 8-25-25.pdf
www.va.gov/vaforms 		Form
29-357 Claim for Disability Insurance Benefits, Government Life
VBA-29-357 8-25-25.pdf
www.va.gov/vaforms 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 29-357 www.va.gov/vaforms Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 8,100 0 0 0 0 8,100
Annual IC Time Burden (Hours) 14,175 0 0 0 0 14,175
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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