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Proposed Information Collection Activity: Proposed Collection; Comment Request

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Information about this document as published in the Federal Register.

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Veterans Benefits Administration, Department of Veterans Affairs.




The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to process beneficiaries claims for payment of insurance proceeds.


Written comments and recommendations on the proposed collection of information should be received on or before September 17, 2001.


Submit written comments on the collection of information to Nancy J. Kessinger, Veterans Benefits Administration (20S52), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail Please refer to “OMB Control No. 2900-0060” in any correspondence.

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Nancy J. Kessinger at (202) 273-7079 or FAX (202) 275-5947.

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Under the PRA of 1995 (Pub. L. 104-13; 44 U.S.C., 3501-3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA.

With respect to the following collection of information, VBA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VBA's functions, including whether the information will have practical utility; (2) the accuracy of VBA's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology.


a. Claim For Government Life Insurance Policy, VA Form Letter 29-764.

b. Claim For One Sum Payment (Government Life Insurance), VA Form 29-4125.

c. Claim For Monthly Payments (National Service Life Insurance), VA Form 29-4125a.Start Printed Page 37725

d. Claim For One Sum Payment (Govt. Life Insurance All Prefixes), VA Form 29-4125b.

e. Claim For Monthly Payments (United States Government. Life Insurance, (USGLI)), VA Form 29-4125k.

OMB Control Number: 2900-0060.

Type of Review: Extension of a currently approved collection.

Abstract: VA forms and form letter are used by beneficiaries to apply for proceeds of Government Insurance policies. The collected information is used by VA to process beneficiaries claim for payment of insurance proceeds.

Affected Public: Individuals or households.

Estimated Annual Burden: 8,938 hours.

a. FL 29-764—100 hours.

b. VA Form 29-4125—8,200 hours.

c. VA Form 29-4125a—463 hours.

d. VA Form 29-4125b—50 hours.

e. VA Form 4125k—125 hours.

Estimated average burden per respondent:

a. FL 29-764—6 minutes.

b. VA Form 29-4125—6 minutes.

c. VA Form 29-4125a—15 minutes.

d. VA Form 29-4125b—6 minutes.

e. VA Form 4125k—15 minutes.

Frequency of Response: On occasion.

Estimated Number of Respondents: 85,850.

a. FL 29-764—1,000.

b. VA Form 29-4125—82,000.

c. VA Form 29-4125a—1,850.

d. VA From 29-4125b—500.

e. VA Form 4125k—500.

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Dated: June 28, 2001.

By direction of the Secretary.

Barbara H. Epps,

Management Analyst, Information Management Service.

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[FR Doc. 01-17999 Filed 7-18-01; 8:45 am]