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Federal forms, ICRs, and supporting documents

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Application for Service-Disabled Veterans Insurance (29-0151, 29-4364, 29-4364c)

IC 28215 under ICR 201310-2900-006 · OMB 2900-0068.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Information Collection (IC) Details

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Application for Service-Disabled Veterans Insurance (29-0151, 29-4364, 29-4364c) 2900-0068 VBA-INS-DB
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 29-4364 Application for Service-Disabled Veterans Insurance 29-4364.pdf www.va./gov/vaforms Yes No Fillable Printable
Form VA Form 29-0151 Application for Service Disabled Veterans Insurance 29-0151.pdf No   Paper Only
Form 29-4364c Application for Service-Disabled Veterans Insurance (Individually Unemployable or Statutory) 29-4364C.pdf No   Paper Only

General Government Legislative Functions

 

25,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25,000 0 0 0 0 25,000
Annual IC Time Burden (Hours) 8,333 0 0 0 0 8,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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