[Federal Register Volume 78, Number 58 (Tuesday, March 26, 2013)]
[Pages 18424-18425]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-06872]



[OMB Control No. 2900-0060]

Proposed Information Collection (Claim for One Sum Payment 
(Government Life Insurance)); Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 

ACTION: Notice.


SUMMARY: 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

[[Page 18425]]

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.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 28, 2013.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov; 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email [email protected]. Please refer to ``OMB Control 
No. 2900-0060'' in any correspondence. During the comment period, 
comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or Fax (202) 632-8925.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), 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 One Sum Payment (Government Life Insurance), VA Form 
    b. Claim for Monthly Payments (National Service Life Insurance), VA 
Form 29-4125a.
    c. 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: Beneficiaries of deceased veterans must complete VA Form 
29-4125 to apply for proceeds of the veteran's Government Insurance 
policies. If the beneficiary desires monthly installment in lieu of one 
lump payment he or she must complete VA Forms 29-4125a and 29-4125k. VA 
uses the information to determine the claimant's eligibility for 
payment of insurance proceeds and to process monthly installment 
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. VA Form 29-4125--8,200 hours.
    b. VA Form 29-4125a--185 hours.
    c. VA Form 4125k--125 hours.
    Estimated Average Burden per Respondents:
    a. VA Form 29-4125--6 minutes.
    b. VA Form 29-4125a--6 minutes.
    c. VA Form 4125k--15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. VA Form 29-4125--82,000.
    b. VA Form 29-4125a--1,850.
    c. VA Form 4125k--500.

    Dated: March 21, 2013.
    By direction of the Secretary.

Robert C. McFetridge,
Director, Office of Regulations Policy and Management, Office of 
General Counsel, Department of Veterans Affairs.
[FR Doc. 2013-06872 Filed 3-25-13; 8:45 am]