OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

VA 29-4125, Clm for One Sum Paymt Gov Life Ins, VA 29-4125EZ, EZ-Ben Clm for One Sum Pymnt Gov Life Ins, VA 29-4125a Claim for Mthly Pymts Gov Life Ins, VA 29-4125e ((DocuSign) Claim for One Sum Paym

OMB 2900-0060 · VA.

OMB 2900-0060

The VA Forms 29-4125, 29-4125A and 29-4125e (DocuSign) are used by beneficiaries to request the proceeds from Government Life Insurance policies. The information is required by law, 38 U.S.C. 1917 and 1952.

The latest form for VA 29-4125, Clm for One Sum Paymt Gov Life Ins, VA 29-4125EZ, EZ-Ben Clm for One Sum Pymnt Gov Life Ins, VA 29-4125a Claim for Mthly Pymts Gov Life Ins, VA 29-4125e ((DocuSign) Claim for One Sum Paym expires 2027-12-31 and is listed under ICR 202408-2900-009.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 29-4125EZ EZ-Beneficiary Claim for One Sum Payment Government Life InsuranceForm
Form 29-4125a Claim for Monthly Payments National Service Life InsuranceForm
Form 29-4125e Claim for One Sum Payment Government Life InsuranceForm
Form 29-4125 Claim for One Sum Payment (Government Life Insurance)Form
30-Day FRN (published) 2900-0060.pdfSupplementary Document
60-Day (published) 2900-0060.pdfSupplementary Document
2900-0060 Supporting Statement 1.docxSupporting Statement A
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 Form
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 Form
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 Form
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 Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-2900-002 Revision of a currently approved collection 2026-09-18
202408-2900-009 Revision of a currently approved collection 2024-11-15
202110-2900-003 Extension without change of a currently approved collection 2022-01-18 Approved without change
201901-2900-003 Revision of a currently approved collection 2019-06-12 Approved with change
201602-2900-027 Revision of a currently approved collection 2016-07-26 Approved with change
201305-2900-017 Extension without change of a currently approved collection 2013-09-19 Approved without change
201009-2900-002 Extension without change of a currently approved collection 2010-12-01 Approved without change
200805-2900-009 Extension without change of a currently approved collection 2008-09-02 Approved without change
200507-2900-012 Extension without change of a currently approved collection 2005-07-19 Approved without change
200208-2900-013 No material or nonsubstantive change to a currently approved collection 2002-08-29 Approved without change
200208-2900-005 Extension without change of a currently approved collection 2002-08-08 Approved with change
200207-2900-002 Reinstatement without change of a previously approved collection 2002-07-03 Approved without change
200202-2900-020 Extension without change of a currently approved collection 2002-02-27 Withdrawn and continue
200201-2900-021 Extension without change of a currently approved collection 2002-01-18 Withdrawn and continue
199811-2900-006 Reinstatement with change of a previously approved collection 1998-11-12 Approved without change
199503-2900-012 Reinstatement with change of a previously approved collection 1995-03-29 Approved without change
199107-2900-014 Revision of a currently approved collection 1991-07-30 Approved without change
198805-2900-007 Revision of a currently approved collection 1988-05-19 Approved without change
198703-2900-001 Revision of a currently approved collection 1987-03-10 Approved without change
198608-2900-025 No material or nonsubstantive change to a currently approved collection 1986-08-08 Approved with change
198312-2900-025 Revision of a currently approved collection 1983-12-28 Approved without change
198209-2900-016 No material or nonsubstantive change to a currently approved collection 1982-09-07 Approved with change
198101-2900-015 No material or nonsubstantive change to a currently approved collection 1981-01-22 Approved with change
197908-2900-018 No material or nonsubstantive change to a currently approved collection 1979-08-01 Approved with change
197901-2900-014 No material or nonsubstantive change to a currently approved collection 1979-01-16 Approved with change
197901-2900-010 Extension without change of a currently approved collection 1979-01-16 Approved without change
197402-2900-001 New collection (Request for a new OMB Control Number) 1974-02-19 Approved without change