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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR ORDINARY LIFE INSURANCE (AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70)

ICR 199503-2900-013 · OMB 2900-0202 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147554 APPLICATION FOR ORDINARY LIFE INSURANCE (AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70) Form Migrated
ICR Details
2900-0202 199503-2900-013
Historical Active 199008-2900-015
VA
APPLICATION FOR ORDINARY LIFE INSURANCE (AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70)
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 06/05/1995
Retrieve Notice of Action (NOA) 03/29/1995
  Inventory as of this Action Requested Previously Approved
06/30/1998 06/30/1998
7,700 0 0
642 0 0
0 0 0
THESE FORMS ARE USED BY INSUREDS TO APPLY FOR REPLACEMENT INSURANCE TO REPLACE THE AMOUNT OF MODIFIED LIFE INSURANCE THAT WAS REDUCED AT AGE 70. THE INFORMATION ON THE FORM IS REQUIRED BY LAW, 38 U.S.C. SECTION 1904.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR ORDINARY LIFE INSURANCE (AGE 70) AND INFORMATION ABOUT MODIFIED LIFE INSURANCE REDUCTION AND REPLACEMENT FEATURES (AGE 70) 29-8485A, 29-8701
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,700 0 0 7,700 0 0
Annual Time Burden (Hours) 642 0 0 642 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/29/1995