THE FORM IS USED BY INSUREDS TO APPLY
FOR THE CHANGE OF ONE PERMANENT PLAN POLICY TO ONE HAVING A HIGHER
RESERVE VALUE. THE INFORMATION ON T FORM IS AUTHORIZED BY TITLE 38,
U.S.C. SECTIONS 704 AND 742. THESE SECTIONS OF THE LAW REQUIRE THAT
AN APPLICATION BE MADE BY THE INSURED PRIOR TO MAKING THE
CHANGE.
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.