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

ICR 202206-2900-017

OMB: 2900-0469

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2022-06-23
Supplementary Document
2021-07-16
Supporting Statement A
2021-06-28
Supplementary Document
2021-05-14
IC Document Collections
ICR Details
2900-0469 202206-2900-017
Received in OIRA 202104-2900-017
VA VBA-INS-YA
Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (VA Form 29-541)
No material or nonsubstantive change to a currently approved collection   No
Regular 06/24/2022
  Requested Previously Approved
08/31/2024 08/31/2024
2,078 2,078
1,039 1,039
0 0

VA Form 29-541 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 1817 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

  86 FR 26604 05/14/2021
86 FR 37786 07/16/2021
No

  Total Request 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

$52,628
No
    Yes
    Yes
No
No
No
No
Yvette McCargo 202 461-9770 yvette.mccargo@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.
06/24/2022


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