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Application for Ordinary Life Insurance (Age 65 and 70)
Application for Ordinary Life Insurance (Age 65 and 70)
OMB: 2900-0166
IC ID: 28407
OMB.report
VA
OMB 2900-0166
ICR 200505-2900-007
IC 28407
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0166 can be found here:
2021-08-12 - Reinstatement with change of a previously approved collection
2018-03-19 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Ordinary Life Insurance (Age 65 and 70)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
29-8485
No
No
Form
29-8700A-E
No
No
Form
29-8485A
No
No
Form
29-8701A-E
No
No
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
15,400
0
0
0
0
15,400
Annual IC Time Burden (Hours)
1,284
0
0
0
0
1,284
Annual IC Cost Burden (Dollars)
0
0
0
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.