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, 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.
Comments must be submitted on or before October 30, 2014.
Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to email@example.com. Please refer to “OMB Control No. 2900-0618” in any correspondence.
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FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0618.”
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Title: Application by Insured Terminally Ill Person for Accelerated Benefit (38 CFR 9.14(e).
OMB Control Number: 2900-0618.
Type of Review: Revision 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 would like 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 1800-419-1473 or downloading the application via the internet at 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 June 12, 2014, at pages 33811-33812.
Affected Public: Individuals or households.
Estimated Annual Burden: 40 hours.
Estimated Average Burden per Respondent: 12 minutes.Start Printed Page 58870
Frequency of Response: On Occasion.
Estimated Number of Respondents: 200.
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Dated: September 25, 2014.
By direction of the Secretary:
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-23264 Filed 9-29-14; 8:45 am]
BILLING CODE 8320-01-P