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)

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

OMB: 2900-0166

IC ID: 28407

⚠️ Notice: This information collection may be referencing outdated material.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

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:

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 %

	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

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.