Information Collection

Application For Veterans Group Life Insurance (veterans Separated More Than 120 Days)

IC 174570 under ICR 197701-2900-017 · OMB 2900-0240.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR VETERANS GROUP LIFE INSURANCE (VETERANS SEPARATED MORE THAN 120 DAYS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VAF 29-8714-				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	19,000	-31,000	50,000
Annual IC Time Burden (Hours)	3,800	-6,200	10,000
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.