OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Reinstatement (Lapsed More than 6 Months), Application for Reinstatement (Non Medical - Comparative Health Statement) (VA Forms 29-352 and 29-353)

ICR 202005-2900-010 · OMB 2900-0011 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 29-352 Application for Reinstatement and or Total Disability Income Provision Form Modified Repair queued
2020-18323.pdf Supplementary Document Uploaded 2020-08-21 Repair queued
2900-0011 Supporting Statement.docx Supporting Statement A Uploaded 2020-06-18 Repair queued
2020-13091.pdf Supplementary Document Uploaded 2020-06-18 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28089 Application for Reinstatement and or Total Disability Income Provision Form Modified
ICR Details
2900-0011 202005-2900-010
Active 201604-2900-002
VA VBA-INS-NK
Application for Reinstatement (Lapsed More than 6 Months), Application for Reinstatement (Non Medical - Comparative Health Statement) (VA Forms 29-352 and 29-353)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/20/2020
Retrieve Notice of Action (NOA) 09/22/2020
VA shall review to determine if responses are voluntary or required to obtain or retain a benefit and state in plain language on these forms.
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved
3,000 0 0
1,125 0 0
0 0 0
The VA Forms 29-352 and 29-353 forms are used to apply for reinstatement of life insurance.
None
None
Not associated with rulemaking
  85 FR 13091 06/18/2020
85 FR 18323 08/21/2020
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 3,000 0 0 0 0 3,000
Annual Time Burden (Hours) 1,125 0 0 0 0 1,125
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$59,394
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.
09/22/2020