Veterans Benefits Administration, Department of Veterans Affairs.
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, has submitted 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.
Comments must be submitted on or before September 15, 2005.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, FAX (202) 273-5981 or e-mail: email@example.com. Please refer to “OMB Control No. 2900-0618.”
Send comments and recommendations concerning any aspect of the information collection 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. 2900-0618” in any correspondence.End Further Info End Preamble Start Supplemental Information
Title: Application by Insured Terminally Ill Person for Accelerated Benefit (38 CFR 9.14(e).
OMB Control Number: 2900-0618.
Type of Review: Extension of a currently approved collection.
Abstract: An insured person who is terminally ill may request a portion of the face value of his or her Servicemembers' Group Life Insurance (SGLI) or Veterans' Group Life Insurance (VGLI) prior to death. If the insured want to receive a portion of the SGLI or VGLI he or she must submit a Servicemembers' and Veterans' Group Life Insurance Accelerated Benefits Option application. The application must include a medical prognosis by a physician stating the life expectancy of the insured person and a statement by the insured on the amount of accelerated benefit he or she choose to receive. The application is obtainable by writing to the Office of Servicemembers' Group Life Insurance ABO Claim Processing, 290 West Mt. Pleasant Avenue, Livingston, NJ 07039, or calling 1-800-419-1473 or downloading the application via the Internet at http://www.insurance.va.gov.
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 April 4, 2005 at pages 17146-17147.
Affected Public: Individuals or households.
Estimated Annual Burden: 40 hours.
Estimated Average Burden Per Respondent: 12 minutes.
Frequency of Response: On Occasion.
Estimated Number of Respondents: 200.Start Signature
Dated: August 9, 2005.
By direction of the Secretary.
Program Analyst, Records Management Service.
[FR Doc. 05-16239 Filed 8-15-05; 8:45 am]
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