[Federal Register Volume 91, Number 104 (Monday, June 1, 2026)]
[Notices]
[Pages 32513-32514]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2026-10897]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0060]


Agency Information Collection Activity: 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.

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SUMMARY: 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 collection, and allow 60 days for public comment in 
response to the notice.

DATES:  Comments must be received on or before July 31, 2026.

ADDRESSES: Comments must be submitted through www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: 
    Program-Specific information: Kendra McCleave, 202-461-9568, 
[email protected].
    VA PRA information: Dorothy Glasgow, 202-461-1084, [email protected].

SUPPLEMENTARY INFORMATION: Under the PRA of 1995, 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.
    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 
Government Life Insurance, VA Form 29-4125e Claim for One Sum Payment 
Government Life Insurance (DocuSign).
    OMB Control Number: 2900-0060. https://www.reginfo.gov/public/do/PRASearch (Once at this link, you can enter the OMB Control Number to 
find the historical versions of this Information Collection).
    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

[[Page 32514]]

added to this collection. This is a simpler version of the Form 29-
4125. This form was created to provide individual beneficiaries with a 
less complicated form to complete, eliminating the 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.
    Affected Public: Individuals and 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. 2026-10897 Filed 5-29-26; 8:45 am]
BILLING CODE 8320-01-P