# Agency Information Collection (Application by Insured Terminally Ill Person for Accelerated Benefit (38 CFR 9.14(e)) Activity Under OMB Review
**AGENCY:**
Veterans Benefits Administration, Department of Veterans Affairs.
**ACTION:**
Notice.
**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 October 13, 2011.
**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. 2900-0618” 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) 461-0966 or e-mail *[email protected].* Please refer to “OMB Control No. 2900-0618.”
**SUPPLEMENTARY 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 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 *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 July 1, 2011, at page 38744.
*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.
By direction of the Secretary.
Dated: September 8, 2011.
Denise McLamb,
Program Analyst, Enterprise Records Service.