Notice of Lapse & Application for Reinstatement (VA Forms 29-389 & 29-389-1)

OMB 2900-0128

VA Forms 29-389 and 29-389-1 are used by an insured to reinstate a lapsed policy.

The latest form for Notice of Lapse & Application for Reinstatement (VA Forms 29-389 & 29-389-1) expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 29-389 Notice of Lapse & Application for Reinstatement Form
30-Day FRN.pdf Supplementary Document
Supporting Statement.docx Supporting Statement A
60-Day-FRN.pdf Supplementary Document
Notice of Lapse & Application for Reinstatement Form

All Historical Document Collections

202203-2900-011 Approved without change	Extension without change of a currently approved collection	2022-06-27
201806-2900-007 Approved without change	Reinstatement with change of a previously approved collection	2019-04-23
201411-2900-001 Approved without change	Revision of a currently approved collection	2015-08-03
201203-2900-009 Approved without change	Extension without change of a currently approved collection	2012-07-05
200811-2900-016 Approved without change	Extension without change of a currently approved collection	2009-06-01
200604-2900-005 Approved without change	Reinstatement with change of a previously approved collection	2006-04-13
200202-2900-013 Withdrawn	Extension without change of a currently approved collection	2002-02-12
199901-2900-004 Approved without change	Reinstatement without change of a previously approved collection	1999-01-25
199503-2900-014 Approved without change	Reinstatement with change of a previously approved collection	1995-03-30
199008-2900-002 Approved without change	Extension without change of a currently approved collection	1990-08-10
198705-2900-005 Approved without change	Revision of a currently approved collection	1987-05-15
198608-2900-042 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-08-08
198406-2900-024 Approved without change	Extension without change of a currently approved collection	1984-06-20
198206-2900-002 Approved without change	Revision of a currently approved collection	1982-06-18
198011-2900-068 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-11-06
197707-2900-001 Approved without change	Revision of a currently approved collection	1977-07-08
197701-2900-021 Approved with change	No material or nonsubstantive change to a currently approved collection	1977-01-24