OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Reinstatement (Lapsed More than 6 Months) and Application for Reinstate of Veterans Affairs Life Insurance (VALife) (Insurance Lapsed More Than 6 Months)

ICR 202306-2900-020 · OMB 2900-0011 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 29-352 Application for Reinstatement and or Total Disability Income Provision Form Modified Repair queued
SupportingStatement (2900-0011).docx Supporting Statement A Uploaded 2023-09-11 Repair queued
2023-19368.pdf Supplementary Document Uploaded 2023-09-11 Repair queued
Published 60-Day FRN.pdf Supplementary Document Uploaded 2023-07-05 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28089 Application for Reinstatement and or Total Disability Income Provision Form Modified
ICR Details
2900-0011 202306-2900-020
Received in OIRA 202005-2900-010
VA VBA-INS-YA
Application for Reinstatement (Lapsed More than 6 Months) and Application for Reinstate of Veterans Affairs Life Insurance (VALife) (Insurance Lapsed More Than 6 Months)
Extension without change of a currently approved collection   No
Regular 09/11/2023
  Requested Previously Approved
36 Months From Approved 11/30/2023
3,000 3,000
1,125 1,125
0 0
The VA Forms 29-352 and 29-352R are used by veterans to apply for reinstatement of a life insurance policy.
None
None
Not associated with rulemaking
  88 FR 43012 07/05/2023
88 FR 19368 09/08/2023
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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 1,125 1,125 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$62,814
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.
09/11/2023