[Federal Register Volume 75, Number 228 (Monday, November 29, 2010)]
[Notices]
[Pages 73166-73167]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-29933]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0060]


Agency Information Collection (Claim for One Sum Payment 
(Government Life Insurance)) Activities under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits 
Administration (VBA), Department of Veterans Affairs, will submit the 
collection of information abstracted below to the Office of Management 
and Budget (OMB) for review and comment. The PRA submission describes 
the nature of the information collection and its expected cost and 
burden; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before December 29, 2010.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov; or to VA's OMB Desk Officer, OMB 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0060'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail 
<a href="/cdn-cgi/l/email-protection#c2a6a7acabb1a7ecafa1aea3afa082afa3abaeecb4a3eca5adb4"><span class="__cf_email__" data-cfemail="7317161d1a00165d1e101f121e11331e121a1f5d05125d141c05">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-
0060.''

SUPPLEMENTARY INFORMATION:

Titles:

    a. Claim for One Sum Payment (Government Life Insurance), VA Form 
29-4125.
    b. Claim for Monthly Payments (National Service Life Insurance), VA 
Form 29-4125a.
    c. Claim for Monthly Payments (United States Government Life 
Insurance, (USGLI)), VA Form 29-4125k.
    OMB Control Number: 2900-0060.

[[Page 73167]]

    Type of Review: Extension of a currently approved collection.
    Abstract: Beneficiaries of deceased veterans must complete VA Form 
29-4125 to apply for proceeds of the veteran's Government Insurance 
policies. If the beneficiary desires monthly installment in lieu of one 
lump payment he or she must complete VA Forms 29-4125a and 29-4125k. VA 
uses the information to determine the claimant's eligibility for 
payment of insurance proceeds and to process monthly installment 
payments.
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published on September 16, 2010, at page 56664.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. VA Form 29-4125--8,200 hours.
    b. VA Form 29-4125a--185 hours.
    c. VA Form 4125k--125 hours.
    Estimated Average Burden per Respondents:
    a. VA Form 29-4125--6 minutes.
    b. VA Form 29-4125a--6 minutes.
    c. VA Form 4125k--15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. VA Form 29-4125--82,000.
    b. VA Form 29-4125a--1,850.
    c. VA Form 4125k--500.

    Dated: November 23, 2010.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-29933 Filed 11-26-10; 8:45 am]
BILLING CODE 8320-01-P


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