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Federal forms, ICRs, and supporting documents

Information Collection Request

Certificate Showing Residence and Heirs of Dec. Vet. or Bene.

ICR 200201-2900-020 · OMB 2900-0469 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28666 Certificate Showing Residence and Heirs of Dec. Vet. or Bene. Form Migrated
ICR Details
2900-0469 200201-2900-020
Historical Inactive 199811-2900-012
VA
Certificate Showing Residence and Heirs of Dec. Vet. or Bene.
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 01/24/2002
Retrieve Notice of Action (NOA) 01/18/2002
Withdrawn by VA, to be resubmitted in the near future. VA can continue this collection in the interim.
  Inventory as of this Action Requested Previously Approved
04/30/2002 01/31/2005 04/30/2002
2,078 0 2,078
1,039 0 0
0 0 0
The form is used by VA to solicit information to establish entitlement to life insurance proceeds. The information on the form is required by law, 38 USC 1917 and 1950.
None
None
No
1
IC Title Form No. Form Name
Certificate Showing Residence and Heirs of Dec. Vet. or Bene. 29-541
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.
01/18/2002