Information Collection

Application for Conversion Government Life Insurance

IC 28374 under ICR 202403-2900-018 · OMB 2900-0149.

Documents and Forms

Document Name Document Type
Form VA Form 29-0152 Application for Conversion Government Life Insurance Form
VA Form 29-0152 Application for Conversion Government Life Insurance 29-0152(5-14-24).pdf www.va.gov/vaforms Form
VA Form 29-0152 Application for Conversion Government Life Insurance 29-0152(5-14-24).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Conversion Government Life Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 29-0152	Application for Conversion Government Life Insurance	29-0152(5-14-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 36VA29, Veterans and Uniformed Services Personnel Program of U. S. Government Life Insurance - VA	FR Citation: 89 FR 23087

Number of Respondents: 4,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,125	1,125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.