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

OMB 2900-0679

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.

The latest form for Certification of Change or Correction of Name Government Life Insurance (VA Form 29-586) expires 2022-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 29-596 Certification of Change or Correction of Name Form
30-Day FRN - 2900-0679 (2022).pdf Supplementary Document
Supporting Statement.docx Supporting Statement A
60-Day FRN -2900-0679 (2021).pdf Supplementary Document
Certification of Change or Correction of Name Form

All Historical Document Collections

202112-2900-004 Approved without change	Extension without change of a currently approved collection	2022-03-01
201806-2900-006 Approved without change	Reinstatement with change of a previously approved collection	2018-11-28
201406-2900-035 Approved without change	Revision of a currently approved collection	2015-06-26
201111-2900-021 Approved without change	Extension without change of a currently approved collection	2012-03-15
200811-2900-015 Approved without change	Extension without change of a currently approved collection	2009-05-08
200604-2900-002 Approved without change	Existing collection in use without an OMB Control Number	2006-04-06