Application for Reinstatement and or Total Disability Income Provision

Application for Reinstatement (Lapsed More than 6 Months) and Application for Reinstate of Veterans Affairs Life Insurance (VALife) (Insurance Lapsed More Than 6 Months)

OMB: 2900-0011

IC ID: 28089

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Application for Reinstatement and or Total Disability Income Provision 2900-0011
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 6.79 38 CFR 8.23 38 CFR 8.8 38 CFR 8.22

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 29-352 Application for Reinstatement and or Total Disability Income Provision VA Form 29-352 (508 Conformant 7-07-23).pdf www.va.gov/vaforms Yes No Fillable Printable
Form 29-352R Application for Reinstatement of Veterans Affairs Life Insurance (VALife) (Insurance Lapsed More Than 6 Months) VA Form 29-352 - Reinstatement Form (8-29-23).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

36VA29 Veterans and Uniformed Services Personnel Programs of the U.S. Government Life Insurance -VA  88 FR 43012

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 1,125 0 0 0 0 1,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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