OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR SERVICEMEN'S GROUP LIFE INSURANCE-RETIRED RESERVISTS

ICR 198208-2900-009 · OMB 2900-0228 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147670 APPLICATION FOR SERVICEMEN'S GROUP LIFE INSURANCE-RETIRED RESERVISTS Form Migrated
ICR Details
2900-0228 198208-2900-009
Historical Active 198111-2900-002
VA
APPLICATION FOR SERVICEMEN'S GROUP LIFE INSURANCE-RETIRED RESERVISTS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/30/1982
Retrieve Notice of Action (NOA) 08/03/1982
This information collection request is approved through 9/30/84 on the condition that editorial changes are made to the "Important" paragraph and to the "married woman's husband's last name" (item 17A) as discuss with OMB.
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984
5,000 0 0
1,250 0 0
0 0 0
THIS FORM IS USED BY VETERANS ELIGIBLE FOR THE RETIRED RESERVE OF A UNIFORMED SERVICE TO APPLY FOR SERVICEMEN'S GROUP LIFE INSURANCE (SGLI) AS REQUIRED BY 38 C.F.R. 9.3(B). THE INFORMATION COLLECTED IS USED TO DETERMINE THE ELIGIBILITY OF THE APPLICANT FOR THE INSURANCE.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR SERVICEMEN'S GROUP LIFE INSURANCE-RETIRED RESERVISTS 29-8713
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 1,250 0 0 1,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/03/1982