Application by Insured Terminally Ill Person for Accelerated Benefit

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0618 can be found here:

Documents and Forms

Document Name Document Type
Form SGLV8284 Application by Insured Terminally Ill Person for Accelerated Benefit Form
SGLV8284 Servicemember's and Veterans' Group Life Insurance Accel SGLV8284(09-07).pdf www.insurance.va.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application by Insured Terminally Ill Person for Accelerated Benefit	Agency IC Tracking Number:	2900-0618

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 9.14(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SGLV8284	Servicemember's and Veterans' Group Life Insurance Accelerated Benefits Option	SGLV8284(09-07).pdf	www.insurance.va.gov	Yes	No	Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.