Information Collection

Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)

IC 28874 under ICR 201403-2900-005 · OMB 2900-0618.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0618 can be found here:

Documents and Forms

Document Name Document Type
Form SGLV8284 Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) Form
SGLV8284 Servicemember's and Veterans' Group Life Insurance Accel SGLV 8284.pdf www.insurance.va.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)	Agency IC Tracking Number:	2900-0618 VBA-INS-DB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 9.14(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SGLV8284	Servicemember's and Veterans' Group Life Insurance Accelerated Benefits Option	SGLV 8284.pdf	www.insurance.va.gov	Yes	No	Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.