Application for Conversion (Government Life Insurance)

Application for Conversion (Government Life Insurance) (VA Form 29-0152)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0149 can be found here:

Documents and Forms

Document Name Document Type
Form 29-0152 Application for Conversion (Government Life Insurance) Form
29-0152 APPLICATION FOR CONVERSION GOVERNMENT LIFE INSURANCE VA Form 29-0152.pdf www.va.gov/vaforms Form
29-0152 APPLICATION FOR CONVERSION GOVERNMENT LIFE INSURANCE VA Form 29-0152.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Conversion (Government Life Insurance)	Agency IC Tracking Number:	2900-0149 VBA-INS-YM

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-0152	APPLICATION FOR CONVERSION GOVERNMENT LIFE INSURANCE	VA Form 29-0152.pdf	www.va.gov/vaforms	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,125	1,125
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.