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Certification of Change or Correction of Name
Certification of Change or Correction of Name Government Life Insurance
OMB: 2900-0679
IC ID: 28957
OMB.report
VA
OMB 2900-0679
ICR 200811-2900-015
IC 28957
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0679 can be found here:
2022-03-01 - Extension without change of a currently approved collection
2018-11-28 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form VA Form 29-586
Certification of Change or Correction of Name
Form
VA Form 29-586 Certification of Change or Correction of Name Government
29-586.pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Certification of Change or Correction of Name
Agency IC Tracking Number:
2900-0679
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
VA Form 29-586
Certification of Change or Correction of Name Government Life Insurance
29-586.pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
120
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
120
0
0
0
0
120
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
0
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.