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)
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 co...
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
( printed page 52112)
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.
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.
Use this for formal legal and research references to the published document.
91 FR 52111
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the document.
“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),” thefederalregister.org (August 12, 2026), https://thefederalregister.org/documents/2026-16411/agency-information-collection-activity-under-omb-review-claim-for-one-sum-payment-government-life-insurance-ez-beneficia.
www.reginfo.gov/public/do/PRAMain
38 U.S.C. 1917