Application for Veterans Affairs Life Insurance (VALife)

APPLICATION FOR VETERANS AFFAIRS LIFE INSURANCE (VALife) (VA Form 29-10277)

Documents and Forms

Document Name Document Type
Form 29-10277 Application for Veterans Affairs Life Insurance (VALife) Form
29-10277 Application for Veterans Affairs Life Insurance (VALife) 29-10277(8-20-25).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Veterans Affairs Life Insurance (VALife)	Agency IC Tracking Number:

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	29-10277	Application for Veterans Affairs Life Insurance (VALife)	29-10277(8-20-25).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 36VA29, Veterans and Uniformed Services Personnel Program of U.S. Government Life Insurance - VA	FR Citation: 84 FR 4138

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	8,333	8,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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