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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR CASH SURRENDER VALUE OR POLICY LOAN (GOVERNMENT LIFE INSURANCE)

ICR 198601-2900-001 · OMB 2900-0012 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
146513 APPLICATION FOR CASH SURRENDER VALUE OR POLICY LOAN (GOVERNMENT LIFE INSURANCE) Form Migrated
ICR Details
2900-0012 198601-2900-001
Historical Active 198212-2900-001
VA
APPLICATION FOR CASH SURRENDER VALUE OR POLICY LOAN (GOVERNMENT LIFE INSURANCE)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/14/1986
Retrieve Notice of Action (NOA) 01/09/1986
  Inventory as of this Action Requested Previously Approved
12/31/1988 12/31/1988
31,500 0 0
5,250 0 0
0 0 0
THIS FORM IS USED BY THE INSURED TO REQUEST A LOAN ON OR CASH SURRENDER HIS/HER INSURANCE. THE INFORMATIO ON THE FORM IS REQUIRED BY LAW 38 U.S.C. SECTIONS 706 AND 744 AND 38 CFR SECTIONS 6.100, 6.101, 6.115, 6.116, 6.117, 8.27 AND 8.28.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR CASH SURRENDER VALUE OR POLICY LOAN (GOVERNMENT LIFE INSURANCE) 29-1546
  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 31,500 0 0 31,500 0 0
Annual Time Burden (Hours) 5,250 0 0 5,250 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.
01/09/1986