Servicemembers' Group Life Insurance Traumatic Injury Protection Program Application for TSGLI Benefits

ICR 200810-2900-006

OMB: 2900-0671

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2008-11-18
IC Document Collections
IC ID
Document
Title
Status
44128 Modified
ICR Details
2900-0671 200810-2900-006
Historical Active 200605-2900-016
VA 2900-0671
Servicemembers' Group Life Insurance Traumatic Injury Protection Program Application for TSGLI Benefits
Extension without change of a currently approved collection   No
Emergency 12/31/2008
Approved without change 03/15/2009
Retrieve Notice of Action (NOA) 11/18/2008
  Inventory as of this Action Requested Previously Approved
09/30/2009 6 Months From Approved 07/31/2009
1,500 0 950
1,125 0 475
0 0 0

This form is designed for use by servicemembers who are insured under Servicemembers' Group Life Insurance (SGLI) and suffer a loss from a traumatic injury. This form is replacing GL.2005.261
In order to begin making payments for these new benefits, the current TSGLI regulation, 38 CFR 9.20 needed to be amended, and the TSGLI application, now named SGLV 8600, had to be revised to allow medical professionals to provide information on the new losses. Some injured service members who previously might not have previously filed a TSGLI claim because they did not have a loss for which a benefit could be paid will now be able to do so because of the new covered losses.

PL: Pub.L. 109 - 13 1032(d) Name of Law: Emergency Supplemental Appropriations Act for Defense, GWT, Tsunamie Relief, 2005
  
PL: Pub.L. 109 - 13 1032 Name of Law: Supplemental Appropriations Act for Defense

2900-AN00 Final or interim final rulemaking 73 FR 229 11/26/2008

No

1
IC Title Form No. Form Name
Traumatic Injury Protection (TSGLI) SGLV 8600 Servicemembers' Group Life Insurance Traumatic Injury Protection Program Application for TSGLI Benefits

  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 1,500 950 550 0 0 0
Annual Time Burden (Hours) 1,125 475 650 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The increase in possible respondents using this form is due to the fact that the VA Insurance Service, after an extensive study of the TSGLI program, identified a number of new losses for which TSGLI benefits can be paid. These new losses have been approved by top management at VA and DoD. In order to begin making payments for these new benefits, the current TSGLI regulation, 38 CFR 9.20 needed to be amended, and the TSGLI application, now named SGLV 8600, had to be revised to allow medical professionals to provide information on the new losses. Some injured service members who previously might not have previously filed a TSGLI claim because they did not have a loss for which a benefit could be paid will now be able to do so because of the new covered losses.

$0
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.
11/18/2008


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