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 202105-2900-011 · OMB 2900-0166.

⚠️ Notice: This information collection may be referencing outdated material.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

2024-09-11 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-8485 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
29-8485 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8485 (OMB Reinstatement 6-3-21).pdf www.va.gov/vaforms	Form
29-8485 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8485 (OMB Reinstatement 6-3-21).pdf www.va.gov/vaforms	Form
29-8485a Application for Ordinary Life Insurance Replacement Insu VA Form 29-8485a (OMB Reinstatement 6-3-21).pdf www.va.gov/vaforms	Form
29-8485a Application for Ordinary Life Insurance Replacement Insu VA Form 29-8485a (OMB Reinstatement 6-3-21).pdf www.va.gov/vaforms	Form
29-8700 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700 (OMB Reinstatement 6-3-21).pdf	Form
29-8700 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700 (OMB Reinstatement 6-3-21).pdf	Form
29-8700a APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700a (OMB Reinstatement 6-3-21).pdf	Form
29-8700a APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700a (OMB Reinstatement 6-3-21).pdf	Form
29-8700b APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700b (OMB Reinstatement 6-3-21).pdf	Form
29-8700b APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700b (OMB Reinstatement 6-3-21).pdf	Form
29-8700c APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700c (OMB Reinstatement 6-3-21).pdf	Form
29-8700c APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700c (OMB Reinstatement 6-3-21).pdf	Form
29-8700d APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700d (OMB Reinstatement 6-3-21).pdf	Form
29-8700d APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700d (OMB Reinstatement 6-3-21).pdf	Form
29-8700e APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700e (OMB Reinstatement 6-3-21).pdf	Form
29-8700e APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8700e (OMB Reinstatement 6-3-21).pdf	Form
29-8701 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701 (OMB Reinstatement 6-3-21).pdf	Form
29-8701 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701 (OMB Reinstatement 6-3-21).pdf	Form
29-8701a APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701a (OMB Reinstatement 6-3-21).pdf	Form
29-8701a APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701a (OMB Reinstatement 6-3-21).pdf	Form
29-8701b APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701b (OMB Reinstatement 6-3-21).pdf	Form
29-8701b APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701b (OMB Reinstatement 6-3-21).pdf	Form
29-8701c APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701c (OMB Reinstatement 6-3-21).pdf	Form
29-8701c APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701c (OMB Reinstatement 6-3-21).pdf	Form
290-8701d APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701d (OMB Reinstatement 6-3-21).pdf	Form
290-8701d APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701d (OMB Reinstatement 6-3-21).pdf	Form
29-8701e APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701e (OMB Reinstatement 6-3-21).pdf	Form
29-8701e APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSU VA Form 29-8701e (OMB Reinstatement 6-3-21).pdf	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	29-8485	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8485 (OMB Reinstatement 6-3-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	29-8485a	Application for Ordinary Life Insurance Replacement Insurance for Modified Life Reduced at Age 70 National Service Life Insurance	VA Form 29-8485a (OMB Reinstatement 6-3-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	29-8700	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8700 (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8700a	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8700a (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8700b	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8700b (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8700c	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8700c (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8700d	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8700d (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8700e	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8700e (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8701	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8701 (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8701a	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8701a (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8701b	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8701b (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8701c	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8701c (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	290-8701d	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8701d (OMB Reinstatement 6-3-21).pdf		No		Paper Only
Form	29-8701e	APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE	VA Form 29-8701e (OMB Reinstatement 6-3-21).pdf		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	Change Due to Potential Violation of the PRA
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.