APPLICATION FOR ORDINARY LIFE INSURANCE (AT AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70)

ICR 198608-2900-054

OMB: 2900-0202

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2900-0202 198608-2900-054
Historical Active 198406-2900-021
VA
APPLICATION FOR ORDINARY LIFE INSURANCE (AT AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70)
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/08/1986
Approved with change 08/08/1986
Retrieve Notice of Action (NOA) 08/08/1986
  Inventory as of this Action Requested Previously Approved
06/30/1987 06/30/1987 06/30/1987
7,704 0 6,818
642 0 568
0 0 0

THESE FORMS ARE USED BY INSUREDS APPLYING FOR REPLACEMENT INSURANCE FO MODIFIED LIFE REDUCED AT AGE 70. THE INFORMATION ON THE FORM IS REQUIRED BY LAW, 38 U.S.C. SECTION 704 AND IS USED TO DETERMINE THE INSURED'S ELIGIBILITY FOR THE INSURANCE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR ORDINARY LIFE INSURANCE (AT AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70) VA 29-8485A, 29-8701

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,704 6,818 0 0 886 0
Annual Time Burden (Hours) 642 568 0 0 74 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/08/1986


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