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Traumatic Injury Protection (TSGLI)
Servicemembers' Group Life Insurance Traumatic Injury Protection Program Application for TSGLI Benefits
OMB: 2900-0671
IC ID: 44128
OMB.report
VA
OMB 2900-0671
ICR 200810-2900-006
IC 44128
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0671 can be found here:
2009-06-18 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SGLV 8600
Traumatic Injury Protection (TSGLI)
Form
SGLV 8600 Servicemembers' Group Life Insurance Traumatic Injury Pr
SGLV 8600(10-08).pdf
www.insurance.va.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Traumatic Injury Protection (TSGLI)
Agency IC Tracking Number:
2900-0671
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SGLV 8600
Servicemembers' Group Life Insurance Traumatic Injury Protection Program Application for TSGLI Benefits
SGLV 8600(10-08).pdf
www.insurance.va.gov
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,500
550
0
0
0
950
Annual IC Time Burden (Hours)
1,125
650
0
0
0
475
Annual IC Cost Burden (Dollars)
0
0
0
0
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.