Certification of Change or Correction of Name Government Life Insurance (29-586)

ICR 201406-2900-035

OMB: 2900-0679

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2015-06-26
Supplementary Document
2015-04-09
Supporting Statement A
2015-06-09
IC Document Collections
IC ID
Document
Title
Status
28957 Modified
ICR Details
2900-0679 201406-2900-035
Historical Active 201111-2900-021
VA 2900-0679 VBA-INS-DB
Certification of Change or Correction of Name Government Life Insurance (29-586)
Revision of a currently approved collection   No
Regular
Approved without change 08/18/2015
Retrieve Notice of Action (NOA) 06/26/2015
  Inventory as of this Action Requested Previously Approved
08/31/2018 36 Months From Approved 08/31/2015
120 0 120
20 0 20
0 0 0

The information collected on this form is used by the Insurance Activity to initiate the processing of the insured's request to change his/her name. The information on the form is required by law, USC 1904 and 1942.

US Code: 38 USC 1904 Name of Law: Plans of Insurance
   US Code: 38 USC 1942 Name of Law: Plans of Insurance
  
None

Not associated with rulemaking

  70 FR 12 01/20/2015
80 FR 123 06/26/2015
No

1
IC Title Form No. Form Name
Certification of Change or Correction of Name VA Form 29-586 Certification of Change or Correction of Name Government Life Insurance

  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 120 120 0 0 0 0
Annual Time Burden (Hours) 20 20 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,964
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@va.gov

  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.
06/26/2015


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