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

ICR 198706-2900-005

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 198706-2900-005
Historical Active 198608-2900-054
VA
APPLICATION FOR ORDINARY LIFE INSURANCE (AT AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INS. REDUCTION AND INSURANCE REPLACEMENT FEATURES (AGE 70)
Revision of a currently approved collection   No
Regular
Approved without change 08/17/1987
Retrieve Notice of Action (NOA) 06/16/1987
  Inventory as of this Action Requested Previously Approved
06/30/1990 06/30/1990 06/30/1987
7,704 0 7,704
642 0 642
0 0 0

THESE FORMS ARE USED BY THE INSURED WHEN APPLYING FOR REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70. THE INFORMATION ON THE FORMS IS REQUIRED BY LAW, 38 U.S.C. 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 INS. REDUCTION AND INSURANCE 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 7,704 0 0 0 0
Annual Time Burden (Hours) 642 642 0 0 0 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.
06/16/1987


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