Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)

Application by Insured Terminally Ill Person for Accelerated Benefit (Forms SGLV 8284 & SGLV 8284a)

OMB: 2900-0618

IC ID: 28874

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Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) 2900-0618
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 9.14(e)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SGLV 8284A Claim for Accelerated Benefits Servicemembers’ Group Life Insurance Family Coverage (FSGLI) SGLV 8284A 09-30-24.pdf https://www.benefits.va.gov/insurance/ Yes Yes Fillable Printable
Form SGLV 8284 Claim for Accelerated Benefits Servicemembers’ Group Life Insurance (SGLI) Veterans’ Group Life Insurance (VGLI) SGLV 8284 09-30-24.pdf https://www.benefits.va.gov/insurance/ Yes Yes Fillable Printable

General Government Legislative Functions

36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance - VA  89 FR 63254

200 0
   
Individuals or Households
 
   0 %

  Requested 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 40 0 0 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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