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Federal forms, ICRs, and supporting documents

Information Collection Request

CLAIM FOR MONTHLY PAYMENTS UNITED STATES GOVERNMENT LIFE INSURANCE (USGLI)

ICR 199011-2900-001 · OMB 2900-0225 · Historical Active

Forms and Documents
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IC Document Collections
IC IDCollectionTypeStatusForm
147650 CLAIM FOR MONTHLY PAYMENTS UNITED STATES GOVERNMENT LIFE INSURANCE (USGLI) Form Migrated
ICR Details
2900-0225 199011-2900-001
Historical Active 198709-2900-021
VA
CLAIM FOR MONTHLY PAYMENTS UNITED STATES GOVERNMENT LIFE INSURANCE (USGLI)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/31/1990
Retrieve Notice of Action (NOA) 11/27/1990
  Inventory as of this Action Requested Previously Approved
11/30/1993 11/30/1993
50 0 0
12 0 0
0 0 0
THIS FORM IS USED BY BENEFICIARIES APPLYING FOR THE PROCEEDS OF UNITED STATES GOVERNMENT LIFE INSURANCE POLICIES.
None
None
No
1
IC Title Form No. Form Name
CLAIM FOR MONTHLY PAYMENTS UNITED STATES GOVERNMENT LIFE INSURANCE (USGLI) 29-4125K
  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 50 0 0 0 50 0
Annual Time Burden (Hours) 12 0 0 0 12 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
11/27/1990