Servicemembers' Group Life Insurance – Spouse Coverage (fsgli) Election And Certificate Form (sglv 8286a)

SERVICEMEMBERS’ GROUP LIFE INSURANCE – SPOUSE COVERAGE (FSGLI) ELECTION AND CERTIFICATE FORM (SGLV 8286A)

OMB: 2900-0938

IC ID: 262351

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SERVICEMEMBERS' GROUP LIFE INSURANCE – SPOUSE COVERAGE (FSGLI) ELECTION AND CERTIFICATE FORM (SGLV 8286A)
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SGLV 8286A SERVICEMEMBERS’ GROUP LIFE INSURANCE – SPOUSE COVERAGE (FSGLI) ELECTION AND CERTIFICATE FORM SGLV 8286A.pdf https://www.benefits.va.gov/insurance/ Yes Yes Fillable Printable

General Government Legislative Functions

36VA29, Veterans and Uniformed Services Personnel Programs of the U.S. Government Life Insurance - VA  88 FR 26872

1,600 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,600 0 1,600 0 0 0
Annual IC Time Burden (Hours) 267 0 267 0 0 0
Annual IC Cost Burden (Dollars) 6,816 0 6,816 0 0 0

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