Information Collection

Application For Ordinary Life Insurance (at Age 65) And Information About Modified Life Insurance Reduction And Replacement Features (age 65)

IC 147396 under ICR 199012-2900-006 · OMB 2900-0166.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR ORDINARY LIFE INSURANCE (AT AGE 65) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 65)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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 &				No	No
Form	29-8700				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,200	4,200
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.