Agency Information Collection Activity Under OMB Review: Claim for Disability Insurance Benefits, Government Life Insurance

---
identifier: "/us/fr/2018-22419"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection Activity Under OMB Review: Claim for Disability Insurance Benefits, Government Life Insurance"
title_number: 0
title_name: "Federal Register"
section_number: "2018-22419"
section_name: "Agency Information Collection Activity Under OMB Review: Claim for Disability Insurance Benefits, Government Life Insurance"
positive_law: false
currency: "2018-10-16"
last_updated: "2018-10-16"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Veterans Affairs Department"
document_number: "2018-22419"
document_type: "notice"
publication_date: "2018-10-16"
agencies:
  - "Veterans Affairs Department"
fr_citation: "83 FR 52304"
fr_volume: 83
docket_ids:
  - "OMB Control No. 2900-0016"
comments_close_date: "2018-11-15"
fr_action: "Notice."
---


#  Agency Information Collection Activity Under OMB Review: Claim for Disability Insurance Benefits, Government Life Insurance

**AGENCY:**

Veterans Benefits Administration, Department of Veterans Affairs.

**ACTION:**

Notice.

**SUMMARY:**

In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration, 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 and it includes the actual data collection instrument.

**DATES:**

Comments must be submitted on or before November 15, 2018.

**ADDRESSES:**

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 protected].* Please refer to “OMB Control No. 2900-0016” in any correspondence.

**FOR FURTHER INFORMATION CONTACT:**

Nancy Kessinger, Administration & Facilities (20M3), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 632-8924 or email *[email protected].* Please refer to “OMB Control No. 2900-0016” in any correspondence.

**SUPPLEMENTARY INFORMATION:**

*Authority:* 44 U.S.C. 3501-21.

*Title:* Claim for Disability Insurance Benefits, Government Life Insurance (VA Form 29-357).

*OMB Control Number:* 2900-0016.

*Type of Review:* Extension without change of a currently approved collection.

*Abstract:* VA Forms 29-357 is used by the policyholder to claim disability insurance benefits on S-DVI, NSLI and USGLI policies. The information requested is authorized by law, 38 U.S.C. 1912, 1915, 1922, 1942 and 1948.

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 at 83 FR 12328 on June 8, 2018, page 26748.

*Affected Public:* Individuals or Households.

*Estimated Annual Burden:* $340,200.

*Estimated Average Burden per Respondent:* 1 Hour and 45 minutes.

*Frequency of Response:* Once.

*Estimated Number of Respondents:* 8,100.

By direction of the Secretary.

Cynthia D. Harvey-Pryor,

Government Information Specialist, Office of Quality, Privacy and Risk, Department of Veterans Affairs.