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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202410-2900-016 · OMB 2900-0020 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 29-336a Designation of Beneficiary - Government Life Insurance and Supplemental Designation of Beneficiary - Government Life Insurance Form Modified Repair queued
30-DAY (published) 2900-0020.pdf Supplementary Document Uploaded 2024-12-30 Repair queued
Published 60-Day FRN.pdf Supplementary Document Uploaded 2024-10-29 Repair queued
Supporting Statement (2900-0020) (3).docx Supporting Statement A Uploaded 2024-12-30 Repair queued
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 202410-2900-016
Received in OIRA 202306-2900-014
VA VBA-INS-YA
Designation of Beneficiary - Government Life Insurance (VA Form 29-336) and Supplemental Designation of Beneficiary - Government Life Insurance (VA Form 29-336a )
Revision of a currently approved collection   No
Regular 12/30/2024
  Requested Previously Approved
36 Months From Approved 10/31/2026
83,500 83,500
13,917 13,917
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 1917 Name of Law: Insurance Maturing on or after August 1, 1946
   US Code: 38 USC Section 1949 Name of Law: Change of Beneficiary
  
None
Not associated with rulemaking
  89 FR 85009 10/24/2024
89 FR 10675 12/30/2024
Yes
  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 83,500 83,500 0 0 0 0
Annual Time Burden (Hours) 13,917 13,917 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$908,534
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.
12/30/2024