OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Reimbursement of Headstone or Marker Expense

ICR 199508-2900-060 · OMB 2900-0266 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147845 Application for Reimbursement of Headstone or Marker Expense Form Migrated
ICR Details
2900-0266 199508-2900-060
Historical Inactive 199304-2900-001
VA
Application for Reimbursement of Headstone or Marker Expense
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 09/18/1995
Retrieve Notice of Action (NOA) 08/28/1995
Withdrawn pursuant to Agency's request.
  Inventory as of this Action Requested Previously Approved
06/30/1996 09/30/1998 06/30/1996
1,000 0 0
167 0 167
0 0 0
VA form 21-8834 is used by any person who paid for a headstone, marker, or additional engraving on behalf of a deceased veteran or service person.
None
None
No
1
IC Title Form No. Form Name
Application for Reimbursement of Headstone or Marker Expense 21-8834
No
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.
08/28/1995