OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application by Insured Terminally Ill Person for Accelerated Benefit

ICR 200805-2900-010 · OMB 2900-0618 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SGLV8284 Application by Insured Terminally Ill Person for Accelerated Benefit Form Modified Repair queued
2900-0618 - AJ80.pdf Supplementary Document Uploaded 2008-09-03 Available
OMB29Reg(2900-0618)(9-3-08).DOC Supporting Statement A Uploaded 2008-09-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28874 Application by Insured Terminally Ill Person for Accelerated Benefit Form Modified
ICR Details
2900-0618 200805-2900-010
Historical Active 200508-2900-004
VA 2900-0618
Application by Insured Terminally Ill Person for Accelerated Benefit
Extension without change of a currently approved collection   No
Regular
Approved without change 12/31/2008
Retrieve Notice of Action (NOA) 09/03/2008
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 12/31/2008
200 0 200
40 0 40
0 0 0
An insured who is terminally ill may request payment of a portion of the face value of the SGLI or VGLI as an Accelerated Benefit.
US Code: 38 USC 1980 Name of Law: Option to Receive Accelerated Death Benefit
   PL: Pub.L. 105 - 368 302 Name of Law: Veterans Programs Enhancement Act of 1998
  
None
Not associated with rulemaking
  73 FR 97 05/19/2008
73 FR 151 08/05/2008
No
  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 200 200 0 0 0 0
Annual Time Burden (Hours) 40 40 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
09/03/2008