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

ICR 201806-2900-006

OMB: 2900-0679

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2018-10-22
Supporting Statement A
2018-10-22
Supplementary Document
2018-10-22
Supplementary Document
2018-07-12
IC Document Collections
IC ID
Document
Title
Status
28957 Modified
ICR Details
2900-0679 201806-2900-006
Active 201406-2900-035
VA VBA-INS-YA
Certification of Change or Correction of Name Government Life Insurance (VA Form 29-586)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/25/2019
Retrieve Notice of Action (NOA) 11/28/2018
  Inventory as of this Action Requested Previously Approved
02/28/2022 36 Months From Approved
120 0 0
20 0 0
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 1942 Name of Law: Plans of Insurance
   US Code: 38 USC 1904 Name of Law: Plans of Insurance
  
None

Not associated with rulemaking

  83 FR 31839 07/09/2018
83 FR 47242 09/18/2018
No

1
IC Title Form No. Form Name
Certification of Change or Correction of Name 29-586 CERTIFICATION OF CHANGE OR CORRECTION OF NAME

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

$1,964
No
    Yes
    Yes
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@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.
11/28/2018


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