Veterans Mortgage Life Insurance Statement

ICR 201305-2900-014

OMB: 2900-0212

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2014-01-14
IC Document Collections
IC ID
Document
Title
Status
28456 Modified
ICR Details
2900-0212 201305-2900-014
Historical Active 201008-2900-003
VA 2900-0212 VBA-INS-NK
Veterans Mortgage Life Insurance Statement
Revision of a currently approved collection   No
Regular
Approved with change 01/15/2014
Retrieve Notice of Action (NOA) 11/05/2013
  Inventory as of this Action Requested Previously Approved
01/31/2017 36 Months From Approved 01/31/2014
1,000 0 450
250 0 113
0 0 0

This form is used by Veterans who have received Specially Adapted Housing Grants to decline VMLI. The information on the form is required by law, 38 USC Section 806.

US Code: 38 USC Section 2106 Name of Law: Veterans' mortgage life insurance
  
None

Not associated with rulemaking

  78 FR 118 06/19/2013
78 FR 185 09/24/2013
No

1
IC Title Form No. Form Name
Veterans Mortgage Life Insurance Statement VA Form 29-8636 Veterans Mortgage Life Insurance Statement

  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 1,000 450 0 550 0 0
Annual Time Burden (Hours) 250 113 0 137 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There was an increase in the number of respondents (from 450 to 1,000) due to an oversight in the number previously reported.

$11,325
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@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.
11/05/2013


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