Application for Supplemental Service Disabled Veterans Insurance (VA Forms 29-0188 and 29-0189)

ICR 202003-2900-007

OMB: 2900-0539

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2020-07-13
Supporting Statement A
2020-05-13
Supplementary Document
2020-05-05
IC Document Collections
ICR Details
2900-0539 202003-2900-007
Active 201604-2900-004
VA VBA-INS-NK
Application for Supplemental Service Disabled Veterans Insurance (VA Forms 29-0188 and 29-0189)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/20/2020
Retrieve Notice of Action (NOA) 09/15/2020
In VA's next revision, extension, or reinstatement request, VA shall assess whether responses are voluntary or required to obtain or retain a benefit and state this requirement in plain language.
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved
10,000 0 0
3,333 0 0
0 0 0

The VA Forms 29-0188 and 29-0189 are used to apply for Supplemental Service Disabled Insurance.

PL: Pub.L. 102 - 568 203 Name of Law: Supplemental Service Disabled Veterans' Insurance For Totally Disabled Veterans
   US Code: 38 USC 1922 Name of Law: Service disabled veterans' insurance
  
None

Not associated with rulemaking

  85 FR 17620 03/30/2020
85 FR 14821 07/10/2020
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 10,000 0 0 0 0 10,000
Annual Time Burden (Hours) 3,333 0 0 0 0 3,333
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$174,454
No
    Yes
    Yes
No
No
No
No
Danny Green 202 421-1354 danny.green2@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.
09/15/2020


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