Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (29-541)

ICR 201406-2900-048

OMB: 2900-0469

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2014-06-25
Supplementary Document
2014-06-25
Supporting Statement A
2014-09-26
Justification for No Material/Nonsubstantive Change
2014-06-18
IC Document Collections
ICR Details
2900-0469 201406-2900-048
Historical Active 201406-2900-026
VA 2900-0469 VBA-INS-DB
Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (29-541)
Revision of a currently approved collection   No
Regular
Approved with change 09/30/2014
Retrieve Notice of Action (NOA) 07/08/2014
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 09/30/2014
2,078 0 2,078
1,039 0 1,039
0 0 0

This form is used by VA to solicit information to establish entitlement to life insurance proceeds. The information on the form is required by law, 38 USC 1917 and 1950.

US Code: 38 USC 1950 Name of Law: Payment to Estates
   US Code: 38 USC 1917 Name of Law: Insurance Maturing after 08/01/1946
  
None

Not associated with rulemaking

  79 FR 11 01/16/2014
79 FR 113 06/12/2014
No

  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 2,078 2,078 0 0 0 0
Annual Time Burden (Hours) 1,039 1,039 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$13,229
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.
07/08/2014


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