Information Collection

Certification of Change or Correction of Name Government Life Insurance

IC 28957 under ICR 202411-2900-010 · OMB 2900-0679.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-586 Certification of Change or Correction of Name Government Life Insurance	Form
29-586 Certification of Change for Correction of Name - Governm VBA-29-586-ARE.pdf www.va.gov/vaforms	Form
29-586 Certification of Change for Correction of Name - Governm VBA-29-586-ARE.pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0679

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-586	Certification of Change for Correction of Name - Government Life Insurance	VBA-29-586-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: 36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance

FR Citation: 89 FR 97707

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.