OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)

ICR 202511-2900-001 · OMB 2900-0919 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SGLV 8600 Application for TSGLI Benefits Form Modified Available
Form SGLV 8600A Application for TSGLI Benefist Form Modified Available
30-Day FRN (published) 2900-0919.pdf Supplementary Document Uploaded 2026-04-29 Available
2900-0919 60-Day FRN (published).pdf Supplementary Document Uploaded 2026-04-24 Available
2900-0919 Supporting Statement 4-29 1.docx Supporting Statement A Uploaded 2026-04-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
257556 Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a) Form ModifiedApplication for TSGLI Benefits
257556 Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a) Form ModifiedApplication for TSGLI Benefist
ICR Details
2900-0919 202511-2900-001
Received in OIRA 202301-2900-001
VA VBA-INS-NK
Servicemembers' Group Life Insurance – Traumatic Injury Protection Program (TSGLI) Application for TSGLIL Benefits (SGLV 8600) AND TSGLI Appeal Request Form (SGLV 8600a)
Extension without change of a currently approved collection   No
Regular 04/29/2026
  Requested Previously Approved
36 Months From Approved 05/31/2026
758 758
7,580 7,580
0 0
SGLV-8600 form is used by the Department of Veterans Affairs to request information in order to adjudicate TSGLI claims for benefits. The form is filled out by members or former members of the uniformed services who have suffered a traumatic injury while in service, and the uniformed services approve or disapprove the claim. If the uniformed services approve the TSGLI claim, then the insurer for the TSGLI program, The Prudential Insurance Company of America (Prudential), pays the claim. The form is authorized by 38 USC 1980A and 38 CFR 9.20. SGLV 8600a form is used by the Department of Veterans Affairs to request information in order to adjudicate TSGLI appeals for benefits. The form is filled out by members or former members of the uniformed services who have suffered a traumatic injury while in service and had their TSGLI claim disapproved. The form is authorized by 38 USC 1980A and 38 CFR 9.20.
US Code: 38 USC 1980A Name of Law: Traumatic Injury Protection
  
None
Not associated with rulemaking
  91 FR 8179 02/23/2026
91 FR 23159 04/29/2026
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 758 758 0 0 0 0
Annual Time Burden (Hours) 7,580 7,580 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$11,682
No
    Yes
    Yes
No
No
No
No
Kendra McCleave 202 461-9760 [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.
04/29/2026