OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Service-Disabled Veterans Insurance (VA Forms 29-0151 & 29-4364)

ICR 202105-2900-005 · OMB 2900-0068 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 29-4364 Application for Service-Disabled Veterans Insurance (29-0151, 29-4364) Form Modified Missing upstream
30-Day FRN - 2900-0068) 2021.pdf Supplementary Document Uploaded 2021-07-22 Repair queued
Published 60-Day FRN.pdf Supplementary Document Uploaded 2021-05-17 Repair queued
Supporting Statement(5-11-21).docx Supporting Statement A Uploaded 2021-05-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28215 Application for Service-Disabled Veterans Insurance (29-0151, 29-4364) Form Modified
ICR Details
2900-0068 202105-2900-005
Received in OIRA 201707-2900-004
VA VBA-INS-YA
Application for Service-Disabled Veterans Insurance (VA Forms 29-0151 & 29-4364)
Reinstatement with change of a previously approved collection   No
Regular 07/22/2021
  Requested Previously Approved
36 Months From Approved
25,000 0
8,333 0
0 0
These forms are used by veterans to apply for insurance. The data collected is used by VA to determine eligibility for insurance. The information collected is required by law, 38 USC 1922.
US Code: 38 USC 1922 Name of Law: Service Disabled Veterans Insurance
  
None
Not associated with rulemaking
  86 FR 26780 05/17/2021
86 FR 38531 07/21/2021
No
  Total Request 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 25,000 0 0 0 0 25,000
Annual Time Burden (Hours) 8,333 0 0 0 0 8,333
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$433,054
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [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.
07/22/2021