Agency Information Collection Activity Under OMB Review: Claim for One Sum Payment Government Life Insurance, EZ-Beneficiary Claim for One Sum Payment Government Life Insurance, Claim for Monthly Payments Government Life Insurance, and Claim for One Sum Payment Government Life Insurance (DocuSign)

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0060]

Agency Information Collection Activity Under OMB Review: Claim for One Sum Payment Government Life Insurance, EZ-Beneficiary Claim for One Sum Payment Government Life Insurance, Claim for Monthly Payments Government Life Insurance, and Claim for One Sum Payment Government Life Insurance (DocuSign)

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 and recommendations for the proposed information collection should be sent by September 11, 2026.

ADDRESSES:

To submit comments and recommendations for the proposed information collection, please type the following link into your browser:

www.reginfo.gov/public/do/PRAMain,

select “Currently under Review—Open for Public Comments”, then search the

list for the information collection by Title or “OMB Control No. 2900-0060.”

FOR FURTHER INFORMATION CONTACT:

VA PRA information: Dorothy Glasgow, (202) 461-1084,

VAPRA@va.gov.

SUPPLEMENTARY INFORMATION:

Title:

VA Form 29-4125, Claim for One Sum Payment Government Life Insurance, VA Form 29-4125EZ, EZ-Beneficiary Claim for One Sum Payment Government Life Insurance, VA Form 29-4125a Claim for Monthly Payments National Service Life Insurance., VA Form 29-4125e (DocuSign) Claim for One Sum Payment Government Life Insurance.

OMB Control Number:

2900-0060

https://www.reginfo.gov/public/do/PRASearch.

Type of Review:

Revision of a currently approved collection.

Abstract:

These forms are used by beneficiaries applying for proceeds of Government Life Insurance policies. The VA Form 29-4125EZ has been added to this collection. This is an easier, simple version of the 29-4125. This form was created so individual beneficiaries can have a less complicated form to complete without all the additional content for other types of beneficiaries. This will not affect the number of respondents but will make it easier and reduce the time it takes for beneficiaries to receive their insurance proceeds. The information requested on the forms is required by law, 38 U.S.C. 1917 and 1952.

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 91 FR 32513 on June 1, 2026.

Affected Public:

Individuals or Households.

Estimated Annual Burden:

12,020 hours.

Estimated Average Burden per Respondent:

6 minutes.

Frequency of Response:

On occasion.

Estimated Number of Respondents:

120,100.

Authority:

44 U.S.C. 3501

et seq.

Shunda Willis,

Alternate, VA PRA Clearance Officer, Office of Information Technology, Data Governance Analytics, Department of Veterans Affairs.

[FR Doc. 2026-16411 Filed 8-11-26; 8:45 am]

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