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Federal forms, ICRs, and supporting documents

Information Collection Request

Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary (VA Forms 29-336 and 29-336a )

ICR 201912-2900-004 · OMB 2900-0020 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 29-336 Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance Form Modified Available
2020-08928.pdf Supplementary Document Uploaded 2020-04-30 Available
2020-02755.pdf Supplementary Document Uploaded 2020-02-13 Repair queued
SupportState(2900-0020).docx Supporting Statement A Uploaded 2020-02-13 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28113 Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance Form Modified
ICR Details
2900-0020 201912-2900-004
Active 201512-2900-025
VA VBA-INS-NK
Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary (VA Forms 29-336 and 29-336a )
Reinstatement without change of a previously approved collection   No
Regular
Approved with change 10/09/2020
Retrieve Notice of Action (NOA) 06/09/2020
VA shall display the expiration date included, but is authorized to accept prior versions of forms for OMB 2900-0020. VA shall also comply with 38 USC 5126 in its processing of these forms. In its next revision, extension, or reinstatement request, VA will explain why a guardian or POA cannot sign these forms.
  Inventory as of this Action Requested Previously Approved
10/31/2023 36 Months From Approved
83,500 0 0
13,917 0 0
0 0 0
The VA Form 29-336 is used to designate a beneficiary and/or optional settlement. The VA Form 29-336a is used as an additional page to the 29-336 if the Veteran decides to list more than three beneficiaries or designate beneficiaries on a different policy. The information on the form is required by law, Title 38, USC Sections 1917, 1949 and 1952.
US Code: 38 USC Section 1952 Name of Law: Optional Settlement
   US Code: 38 USC Section 1949 Name of Law: Change of Beneficiary
   US Code: 38 USC Section 1917 Name of Law: Insurance Maturing on or after August 1, 1946
  
None
Not associated with rulemaking
  85 FR 2755 02/12/2020
85 FR 8928 04/28/2020
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 83,500 0 0 0 0 83,500
Annual Time Burden (Hours) 13,917 0 0 0 0 13,917
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$806,664
No
    Yes
    Yes
No
No
No
No
Danny Green 202 421-1354 [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.
06/09/2020