Home Agency 2900 OMB 2900-0128 ICR 201806-2900-007 Information Collection Request
Notice of Lapse & Application for Reinstatement (VA Forms 29-389 & 29-389-1) ICR 201806-2900-007 · OMB 2900-0128 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0128 can be found here:
ICR Details
OMB Control No:
2900-0128
ICR Reference No:
201806-2900-007
Status:
Active
Previous ICR Reference No:
201411-2900-001
Agency/Subagency:
VA
Agency Tracking No:
VBA-INS-NK
Title:
Notice of Lapse & Application for Reinstatement (VA Forms 29-389 & 29-389-1)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/26/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/23/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date 06/30/2022
36 Months From Approved
Responses 23,352
0
0
Time Burden (Hours) 4,281
0
0
Cost Burden (Dollars) 0
0
0
Abstract:
VA Forms 29-389 and 29-389-1 are used by an insured to reinstate a lapsed policy.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN: Stage of Rulemaking: Federal Register Citation: Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 32954
07/16/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 3789
03/04/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
ICR Summary of Burden
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
23,352
0
0
0
0
23,352
Annual Time Burden (Hours)
4,281
0
0
0
0
4,281
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$109,773
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3) )? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Danny Green 202 421-1354 [email protected]
Form 29-389 Notice of Lapse & Application for Reinstatement
2019-03789.pdf
Supporting Statement 6-27-18.doc
Notice of Lapse & Application for Reinstatement