OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Claim for One Sum Payment - Gov. Life Ins. (VAF 29-4125), Claim for Monthly Payments - National Service Life Ins. (VAF 29-4125a), Claim for One Sum Payment - Gov. Life Ins. (VAF 29-4125e (DocuSign)

OMB 2900-0060 · VA.

OMB 2900-0060

The VA Forms 29-4125, 29-4125A and 29-4125e (DocuSign) are used by beneficiaries to request the proceeds from Government Life Insurance policies. The information is required by law, 38 U.S.C. 1917 and 1952.

The latest form for Claim for One Sum Payment - Gov. Life Ins. (VAF 29-4125), Claim for Monthly Payments - National Service Life Ins. (VAF 29-4125a), Claim for One Sum Payment - Gov. Life Ins. (VAF 29-4125e (DocuSign) expires 2027-12-31 and can be found here.

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Name
Form
Supplementary Document
Supporting Statement A
Supplementary Document
All Historical Document Collections
 Revision of a currently approved collection 2024-11-15
Approved without change
 Extension without change of a currently approved collection 2022-01-18
Approved with change
 Revision of a currently approved collection 2019-06-12
Approved with change
 Revision of a currently approved collection 2016-07-26
Approved without change
 Extension without change of a currently approved collection 2013-09-19
Approved without change
 Extension without change of a currently approved collection 2010-12-01
Approved without change
 Extension without change of a currently approved collection 2008-09-02
Approved without change
 Extension without change of a currently approved collection 2005-07-19
Approved without change
 No material or nonsubstantive change to a currently approved collection 2002-08-29
Approved with change
 Extension without change of a currently approved collection 2002-08-08
Approved without change
 Reinstatement without change of a previously approved collection 2002-07-03
Withdrawn and continue
 Extension without change of a currently approved collection 2002-02-27
Withdrawn and continue
 Extension without change of a currently approved collection 2002-01-18
Approved without change
 Reinstatement with change of a previously approved collection 1998-11-12
Approved without change
 Reinstatement with change of a previously approved collection 1995-03-29
Approved without change
 Revision of a currently approved collection 1991-07-30
Approved without change
 Revision of a currently approved collection 1988-05-19
Approved without change
 Revision of a currently approved collection 1987-03-10
Approved with change
 No material or nonsubstantive change to a currently approved collection 1986-08-08
Approved without change
 Revision of a currently approved collection 1983-12-28
Approved with change
 No material or nonsubstantive change to a currently approved collection 1982-09-07
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-01-22
Approved with change
 No material or nonsubstantive change to a currently approved collection 1979-08-01
Approved with change
 No material or nonsubstantive change to a currently approved collection 1979-01-16
Approved without change
 Extension without change of a currently approved collection 1979-01-16
Approved without change
 New collection (Request for a new OMB Control Number) 1974-02-19