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

ICR 202112-2900-004 · OMB 2900-0679 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0679 can be found here:

2025-04-22 - Extension without change of a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Form 29-596 Certification of Change or Correction of Name	Form	Modified	Repair queued
30-Day FRN - 2900-0679 (2022).pdf	Supplementary Document	Uploaded 2022-03-01	Missing upstream
Supporting Statement.docx	Supporting Statement A	Uploaded 2021-12-23	Repair queued
60-Day FRN -2900-0679 (2021).pdf	Supplementary Document	Uploaded 2021-12-23	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
28957	Certification of Change or Correction of Name	Form	Modified

ICR Details

OMB Control No: 2900-0679	ICR Reference No: 202112-2900-004
Status: Received in OIRA	Previous ICR Reference No: 201806-2900-006
Agency/Subagency: VA	Agency Tracking No: VBA-INS-YA
Title: Certification of Change or Correction of Name Government Life Insurance (VA Form 29-586)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/01/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	120	120
Time Burden (Hours)	20	20
Cost Burden (Dollars)	0	0

Abstract: 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.

Authorizing Statute(s): US Code: 38 USC 1942 Name of Law: Plans of Insurance
US Code: 38 USC 1904 Name of Law: Plans of Insurance

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 73102	12/23/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 11153	02/28/2022
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certification of Change or Correction of Name	29-596	Certification of Change for Correction of Name - Government Life Insurance

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	120	120
Annual Time Burden (Hours)	20	20
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $1,226

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Maribel Aponte 202 266-4688 [email protected]

Common Form ICR: No