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Insurance Surveys
Insurance Surveys
OMB: 2900-0771
IC ID: 191786
OMB.report
VA
OMB 2900-0771
ICR 201008-2900-005
IC 191786
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0771 can be found here:
2021-02-24 - No material or nonsubstantive change to a currently approved collection
2018-03-19 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Waiver Survey.DOC
Other-survey
CashSurr 292 .doc
Other-survey
Correspondence 292 .doc
Other-Survey
Death Claims Survey.DOC
Other-Survey
IVR 292.doc
Other-Survey
Missing Check Survey.DOC
Other-Survey
PolicyLoanSurvey.doc
Other-Survey
Telephone Survey PSD.doc
Other-Survey
Telephone Survey ICD .doc
Other-Survey
VMLI Survey.doc
Other-Survey
BO Survey .DOC
Other-Survey
SDVI Appllication 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:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-survey
Waiver Survey.DOC
No
Paper Only
Other-survey
CashSurr 292 .doc
No
Paper Only
Other-Survey
Correspondence 292 .doc
No
Paper Only
Other-Survey
Death Claims Survey.DOC
No
Paper Only
Other-Survey
IVR 292.doc
No
Paper Only
Other-Survey
Missing Check Survey.DOC
No
Paper Only
Other-Survey
PolicyLoanSurvey.doc
No
Paper Only
Other-Survey
Telephone Survey PSD.doc
No
Paper Only
Other-Survey
Telephone Survey ICD .doc
No
Paper Only
Other-Survey
VMLI Survey.doc
No
Paper Only
Other-Survey
BO Survey .DOC
No
Paper Only
Other-Survey
SDVI Appllication Survey.DOC
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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 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
480
0
480
0
0
0
Annual IC Time Burden (Hours)
48
0
48
0
0
0
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.