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

OMB 2900-0166

OMB 2900-0166

These forms are used by the insured to apply for replacement insurance for Modified Life at Age 65 and 70.

The latest form for Application for Ordinary Life Insurance (Age 65 and 70) (VA Forms 29-8485 & 29-8485a) expires 2021-05-31 and can be found here.

All Historical Document Collections
Extension without change of a currently approved collection 2024-09-11
Approved without change
Reinstatement with change of a previously approved collection 2021-08-12
Approved without change
Reinstatement without change of a previously approved collection 2018-03-19
Approved without change
Revision of a currently approved collection 2014-08-22
Approved without change
Extension without change of a currently approved collection 2011-07-11
Approved without change
Extension without change of a currently approved collection 2008-07-10
Approved without change
Extension without change of a currently approved collection 2005-05-11
Approved without change
Reinstatement without change of a previously approved collection 2002-03-05
Disapproved
Reinstatement without change of a previously approved collection 2001-08-02
Approved without change
Extension without change of a currently approved collection 1998-03-18
Approved without change
Reinstatement without change of a previously approved collection 1995-03-24
Approved without change
Reinstatement with change of a previously approved collection 1990-12-12
Approved without change
Revision of a currently approved collection 1987-06-16
Approved with change
No material or nonsubstantive change to a currently approved collection 1986-08-08
Approved without change
Revision of a currently approved collection 1984-06-20
Approved with change
No material or nonsubstantive change to a currently approved collection 1982-09-07
Approved without change
Revision of a currently approved collection 1981-04-17
Approved without change
Revision of a currently approved collection 1976-06-22
Approved without change
Revision of a currently approved collection 1976-06-03

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