Application by Insured
Terminally Ill Person for Accelerated Benefit (Forms SGLV 8284
& SGLV 8284a)
Extension without change of a currently approved collection
No
Regular
10/07/2024
Requested
Previously Approved
36 Months From Approved
01/31/2025
200
200
40
40
0
0
The SGLV 8284 and SGLV 8284a forms are
used by an insured who is terminally ill to request payment of a
portion of the face value of the Servicemembers' Group Life
Insurance (SGLI) or Veterans Group Life Insurance (VGLI) as an
Accelerated Benefit.
US Code:
38
USC 1980 Name of Law: Option to Receive Accelerated Death
Benefit
PL:
Pub.L. 105 - 368 302 Name of Law: Veterans Programs Enhancement
Act of 1998
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.