Insurance Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0771 can be found here:

Documents and Forms

Document Name Document Type
OMB 29 Survey - Waiver Survey (2-4-2010).DOC Other-Survey
OMB 29 Survey - CashSurr 292 (2-4-2010).doc Other-Survey
OMB 29 Survey - Correspondence 292 (2-4-2010).doc Other-Survey
OMB 29 Survey - Death Claims Survey (2-4-2010).DOC Other-Survey
OMB 29 Survey - IVR 292 (2-4-2010).doc Other-Survey
OMB 29 Survey - Missing Check Survey (2-4-2010).DOC Other-Survey
OMB 29 Survey - Policy Loan Survey (2-4-2010).doc Other-Survey
OMB 29 Survey - SDVI Appllication Survey (2-4-2010).DOC Other-Survey
OMB 29 Survey - Telephone Survey ICD (2-4-2010).doc Other-Survey
OMB 29 Survey - Telephone Survey PSD (2-4-2010).doc Other-Survey
OMB 29 Survey - VMLI Survey (2-4-2010).doc Other-Survey
Benefits Survey.DOC Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Insurance Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey	OMB 29 Survey - Waiver Survey (2-4-2010).DOC	No	Paper Only
Other-Survey	OMB 29 Survey - CashSurr 292 (2-4-2010).doc	No	Paper Only
Other-Survey	OMB 29 Survey - Correspondence 292 (2-4-2010).doc	No	Paper Only
Other-Survey	OMB 29 Survey - Death Claims Survey (2-4-2010).DOC	No	Paper Only
Other-Survey	OMB 29 Survey - IVR 292 (2-4-2010).doc	No	Paper Only
Other-Survey	OMB 29 Survey - Missing Check Survey (2-4-2010).DOC	No	Paper Only
Other-Survey	OMB 29 Survey - Policy Loan Survey (2-4-2010).doc	No	Paper Only
Other-Survey	OMB 29 Survey - SDVI Appllication Survey (2-4-2010).DOC	No	Paper Only
Other-Survey	OMB 29 Survey - Telephone Survey ICD (2-4-2010).doc	No	Paper Only
Other-Survey	OMB 29 Survey - Telephone Survey PSD (2-4-2010).doc	No	Paper Only
Other-Survey	OMB 29 Survey - VMLI Survey (2-4-2010).doc	No	Paper Only
Other-Survey	Benefits Survey.DOC	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	48	48
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.