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Application for Ordinary Life Insurance (Age 65 and 70) VA Forms 29-8485 and 29-8485a

IC 28407 under ICR 202404-2900-011 · OMB 2900-0166.

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Application for Ordinary Life Insurance (Age 65 and 70) VA Forms 29-8485 and 29-8485a 2900-0166
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VBA-29-8485 APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 65 NATIONAL SERVICE LIFE INSURANCE VBA-29-8485-ARE (1).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VBA-29-8485a APPLICATION FOR ORDINARY LIFE INSURANCE REPLACEMENT INSURANCE FOR MODIFIED LIFE REDUCED AT AGE 70 NATIONAL SERVICE LIFE INSURANCE VBA-29-8485a-ARE (1).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

15,400 0
   
Individuals or Households
 
   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

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