Claim for Disability Insurance Benefits, Government Life Insurance (VA Form 29-357)

OMB 2900-0016

VA Form 29-357 is designed for use by the insurance activity to determine the insured's eligibility for disability insurance benefits. The information is authorized by law, USC Sections 1912, 1915, 1942, 1948.

The latest form for Claim for Disability Insurance Benefits, Government Life Insurance (VA Form 29-357) expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 29-357 Claim for Disability Insurance Benefits, Government Life Insurance Form
30-Day FRN - 2900-0016 (2022).pdf Supplementary Document
Supporting Statement.docx Supporting Statement A
Published 60-Day FRN.pdf Supplementary Document
Claim for Disability Insurance Benefits, Government Life Insurance Form

All Historical Document Collections

202203-2900-014 Approved with change	Extension without change of a currently approved collection	2022-06-22
201805-2900-005 Approved without change	Reinstatement with change of a previously approved collection	2019-04-23
201406-2900-030 Approved without change	Revision of a currently approved collection	2015-06-08
201108-2900-014 Approved with change	Extension without change of a currently approved collection	2011-12-09
200806-2900-003 Approved without change	Extension without change of a currently approved collection	2008-10-30
200510-2900-003 Approved with change	Extension without change of a currently approved collection	2005-10-13
200210-2900-001 Approved without change	Extension without change of a currently approved collection	2002-10-29
199912-2900-008 Approved without change	Extension without change of a currently approved collection	1999-12-27
199611-2900-019 Approved without change	Reinstatement without change of a previously approved collection	1996-11-18
199307-2900-001 Approved without change	Revision of a currently approved collection	1993-07-07
199005-2900-002 Approved without change	Reinstatement with change of a previously approved collection	1990-05-18
198611-2900-002 Approved without change	Revision of a currently approved collection	1986-11-04
198608-2900-015 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-08-08
198312-2900-021 Approved without change	Revision of a currently approved collection	1983-12-27
198209-2900-050 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-09-27
198209-2900-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-09-07
198011-2900-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-11-06
197902-2900-001 Approved without change	Revision of a currently approved collection	1979-02-05
197701-2900-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1977-01-24
197603-2900-015 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-03-18
197601-2900-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-01-05
197512-2900-003 Approved without change	Revision of a currently approved collection	1975-12-18
197503-2900-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-03-18