OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202404-2900-011 · OMB 2900-0166 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form VBA-29-8485 Application for Ordinary Life Insurance (Age 65 and 70) VA Forms 29-8485 and 29-8485a Form Modified Repair queued
30-DAY FRN 2900-0166.pdf Supplementary Document Uploaded 2024-09-10 Repair queued
2900-0166, Supporting Statement NEW.docx Supporting Statement A Uploaded 2024-09-11 Missing upstream
60-DAY FRN 2900-0166 (published).pdf Supplementary Document Uploaded 2024-08-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28407 Application for Ordinary Life Insurance (Age 65 and 70) VA Forms 29-8485 and 29-8485a Form Modified
ICR Details
2900-0166 202404-2900-011
Received in OIRA 202105-2900-011
VA VBA-INS-KM
Application for Ordinary Life Insurance (Age 65 and 70) (VA Forms 29-8485 & 29-8485a)
Extension without change of a currently approved collection   No
Regular 09/11/2024
  Requested Previously Approved
36 Months From Approved 09/30/2024
15,400 15,400
1,284 1,284
0 0
These forms are used by the insured to apply for replacement insurance for Modified Life at Age 65 and 70.
US Code: 38 USC 1904 Name of Law: Plans of Insurance
  
None
Not associated with rulemaking
  89 FR 50666 06/14/2024
89 FR 70695 08/30/2024
No
  Total Request 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 15,400 15,400 0 0 0 0
Annual Time Burden (Hours) 1,284 1,284 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$94,918
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [email protected]
  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.
09/11/2024