Information Collection

Application for Ordinary Life Insurance (Ages 65 and 70)

IC 28404 under ICR 199803-2900-006 · OMB 2900-0166.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0166 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application for Ordinary Life Insurance (Ages 65 and 70)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	29-8700	No	No
Form	29-8700A	No	No
Form	29-8701A-E	No	No
Form	29-8485	No	No
Form	29-8700C	No	No
Form	29-8700E	No	No
Form	29-8485A	No	No
Form	29-8700B	No	No
Form	29-8700D	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15,400	7,700	7,700
Annual IC Time Burden (Hours)	1,284	642	642
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.