Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (VA Form 29-541 and VA Form 29-541e)

OMB 2900-0469

This form is used by VA to solicit information to establish entitlement to life insurance proceeds. The information on the form is required by law, 38 USC 1917 and 1950.

The latest form for Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (VA Form 29-541 and VA Form 29-541e) expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 29-541 Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (29-541) Form
Supporting Statement(2900-0469).docx Supporting Statement A
2024-13033.pdf Supplementary Document
Published 60-Day FRN.pdf Supplementary Document
Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary (29-541) Form

All Historical Document Collections

202403-2900-017 Approved without change	Extension without change of a currently approved collection	2024-06-13
202206-2900-017 Approved with change	No material or nonsubstantive change to a currently approved collection	2022-06-24
202104-2900-017 Approved without change	Reinstatement with change of a previously approved collection	2021-07-16
201711-2900-007 Approved without change	Reinstatement without change of a previously approved collection	2018-03-15
201406-2900-048 Approved with change	Revision of a currently approved collection	2014-07-08
201406-2900-026 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-06-19
201104-2900-011 Approved without change	Extension without change of a currently approved collection	2011-07-11
200803-2900-004 Approved without change	Extension without change of a currently approved collection	2008-06-18
200505-2900-012 Approved without change	Extension without change of a currently approved collection	2005-05-20
200202-2900-023 Approved without change	Extension without change of a currently approved collection	2002-02-27
200201-2900-020 Withdrawn and continue	Extension without change of a currently approved collection	2002-01-18
199811-2900-012 Approved without change	Reinstatement without change of a previously approved collection	1998-11-23
199508-2900-002 Approved without change	Revision of a currently approved collection	1995-08-01
199204-2900-001 Approved without change	Extension without change of a currently approved collection	1992-04-10
198905-2900-010 Approved without change	Revision of a currently approved collection	1989-05-19
198603-2900-006 Approved without change	New collection (Request for a new OMB Control Number)	1986-03-14