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Federal forms, ICRs, and supporting documents

Information Collection Request

Application by Insured terminally Ill Person Accelerated Benefit- 38 CFR 9.14(e)

ICR 200207-2900-006 · OMB 2900-0618 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28873 Application by Insured terminally Ill Person Accelerated Benefit- 38 CFR 9.14(e) Form Migrated
ICR Details
2900-0618 200207-2900-006
Historical Active 200201-2900-016
VA
Application by Insured terminally Ill Person Accelerated Benefit- 38 CFR 9.14(e)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/02/2002
Retrieve Notice of Action (NOA) 07/12/2002
  Inventory as of this Action Requested Previously Approved
09/30/2005 09/30/2005
200 0 0
40 0 0
0 0 0
An insured person who is terminally ill may request payment of a portion of the face value of the insured person's SGLI, VGLI insurance as an Accelerated Benefit.
None
None
No
1
IC Title Form No. Form Name
Application by Insured terminally Ill Person Accelerated Benefit- 38 CFR 9.14(e) NONE
  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 200 0 0 200 0 0
Annual Time Burden (Hours) 40 0 0 40 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.
07/12/2002