Service-Disabled Veterans Insurance - Waiver of Premiums

ICR 200704-2900-003

OMB: 2900-0700

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0700 200704-2900-003
Historical Active
VA
Service-Disabled Veterans Insurance - Waiver of Premiums
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/06/2007
Retrieve Notice of Action (NOA) 04/06/2007
In the next submission of this collection of information to OMB for review VA shall report on the utility of providing respondents the option of completing and submitting the associated form by electronic means.
  Inventory as of this Action Requested Previously Approved
06/30/2010 36 Months From Approved
3,500 0 0
1,167 0 0
0 0 0

This form is designed for use by the insurance activity to determine the insured's eligibility for disability insurance benefits. The information is authorized by law, USC Section 1912.

US Code: 38 USC Section 1912 Name of Law: Total Disability Waiver
  
None

Not associated with rulemaking

  71 FR 223 11/20/2006
72 FR 38 02/27/2007
No

1
IC Title Form No. Form Name
Service-Disabled Veterans Insurance - Waiver of Premiums VA Form 29-0812 Service-Disabled Veterans Insurance - Waiver of Premiums

  Total Approved 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 3,500 0 0 3,500 0 0
Annual Time Burden (Hours) 1,167 0 0 1,167 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$17,505
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
04/06/2007


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