View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0060	ICR Reference No: 201602-2900-027
Status: Historical Active	Previous ICR Reference No: 201305-2900-017
Agency/Subagency: VA	Agency Tracking No: VBA-INS-NK
Title: Claim for One Sum Payment (Government Life Insurance), Claim for Monthly Payments (National Service Life Insurance), and Claim for Monthly Payments, U.S. Government Insurance- VA Forms 29-4125 & 4125A
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/16/2016
	Date Received in OIRA: 07/26/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	120,100	0	84,350
Time Burden (Hours)	12,010	0	8,510
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	120,100	84,350	35,750
Annual Time Burden (Hours)	12,010	8,510	3,500
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden hours is due to the fact that unfortunately, as more veterans pass way, more forms are submitted to claim the proceeds from Government Life Insurance policies.

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