Certification of Change or Correction of Name

ICR 200604-2900-002

OMB: 2900-0679

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
28957 Migrated
ICR Details
2900-0679 200604-2900-002
Historical Active
VA
Certification of Change or Correction of Name
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 06/22/2006
Retrieve Notice of Action (NOA) 04/06/2006
Approved consistent with the following terms of clearance: prior to the next submission of this clearance for OMB review VA shall assess the practicality of requiring individual respondents to provide full social security numbers on submitted forms and will address this issue in the next submission to OMB.
  Inventory as of this Action Requested Previously Approved
06/30/2009 06/30/2009
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.

None
None


No

1
IC Title Form No. Form Name
Certification of Change or Correction of Name 29-586

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

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
04/06/2006


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