Information Collection

Application for Ordinary Life Insurance (Age 65 and 70) (29-8485 & a; 29-8700, a, b, c, d & e; and 29-8701, a, b, c, d & e)

IC 28407 under ICR 201312-2900-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 29-8700c Application for Ordinary Life Insurance (Age 65 and 70) (29-8485 & a; 29-8700, a, b, c, d & e; and 29-8701, a, b, c, d & e)	Form
VA Form 29-8485 Application for Ordinary Life Insurance 29-8485.pdf www.va.gov/vaforms	Form
VA Form 29-8485a Application For Ordinary Life Insurance 29-8485a.pdf www.va.gov/vaforms	Form
VA Form 29-8700 Application For Ordinary Life Insurance (Age 65) 29-8700.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA	Form
VA Form 29-8700a Application Letter 1 For Ordinary Life Insurance (Age 65 29-8700a.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA	Form
VA Form 29-8700b Application Letter 2 for Ordinary Life Insurance (Age 65 29-8700b.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA.	Form
VA Form 29-8700c Application Letter 3 for Ordinary Life Insurance (Age 65 29-8700c.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA	Form
VA Form 29-8700d Application Letter 4 for Ordinary Life Insurance (Age 65 29-8700d.pdf This form is produced on the Xerox Printer at the VASDC in Phil., Pa	Form
VA Form 29-8700e Application Letter 5 for Ordinary Life Insurance (Age 65 29-8700e.pdf This form is produced on the Xerox Printer located at the VASDC in Phil. PA	Form
VA Form 29-8701 Application for Ordinary Life Insurance (Age 70) 29-8701.pdf This form is produced on the Xerox Printer Located at the VASDC in Phil., PA	Form
VA Form 29-8701a Application Letter 1 for Ordinary Life Insurance (Age 70 29-8701a.pdf This form is produced on the Xerox Printer Located at the VASDC in Phil., PA	Form
VA Form 29-8701b Application Letter 2 for Ordinary Life Insurance (Age 70 29-8701b.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA	Form
VA Form 29-8701c Application Letter 3 for Ordinary Life Insurance (Age 70 29-8701c.pdf This form is produced on the Xerox Printer located at the VASDC Phil., PA	Form
VA Form 29-8701d Application Letter 4 for Ordinary Life Insurance (Age 70 29-8701d.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA	Form
VA Form 29-8701e Application Letter 5 for Ordinary Life Insurance (Age 70 29-8701e.pdf This form is produced on the Xerox Printer located at the VASDC in Phil., PA	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Application for Ordinary Life Insurance (Age 65 and 70) (29-8485 & a; 29-8700, a, b, c, d & e; and 29-8701, a, b, c, d & e)

Agency IC Tracking Number:

2900-0166 VBA-INS-DB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 29-8700c	Application Letter 3 for Ordinary Life Insurance (Age 65)	29-8700c.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8700d	Application Letter 4 for Ordinary Life Insurance (Age 65)	29-8700d.pdf	This form is produced on the Xerox Printer at the VASDC in Phil., Pa	No		Paper Only
Form	VA Form 29-8700e	Application Letter 5 for Ordinary Life Insurance (Age 65)	29-8700e.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil. PA	No		Paper Only
Form	VA Form 29-8701	Application for Ordinary Life Insurance (Age 70)	29-8701.pdf	This form is produced on the Xerox Printer Located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8701a	Application Letter 1 for Ordinary Life Insurance (Age 70)	29-8701a.pdf	This form is produced on the Xerox Printer Located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8701b	Application Letter 2 for Ordinary Life Insurance (Age 70)	29-8701b.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8701c	Application Letter 3 for Ordinary Life Insurance (Age 70)	29-8701c.pdf	This form is produced on the Xerox Printer located at the VASDC Phil., PA	No		Paper Only
Form	VA Form 29-8701d	Application Letter 4 for Ordinary Life Insurance (Age 70)	29-8701d.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8485	Application for Ordinary Life Insurance	29-8485.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 29-8485a	Application For Ordinary Life Insurance	29-8485a.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 29-8700	Application For Ordinary Life Insurance (Age 65)	29-8700.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8700a	Application Letter 1 For Ordinary Life Insurance (Age 65)	29-8700a.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA	No		Paper Only
Form	VA Form 29-8700b	Application Letter 2 for Ordinary Life Insurance (Age 65)	29-8700b.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA.	No		Paper Only
Form	VA Form 29-8701e	Application Letter 5 for Ordinary Life Insurance (Age 70)	29-8701e.pdf	This form is produced on the Xerox Printer located at the VASDC in Phil., PA	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15,400	15,400
Annual IC Time Burden (Hours)	1,284	1,284
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.