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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Standard Government Headstone or Marker for Installation in Private or State Veterans' Cemetery

ICR 200102-2900-003 · OMB 2900-0222 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28469 Application for Standard Government Headstone or Marker for Installation in Private or State Veterans' Cemetery Form Migrated
ICR Details
2900-0222 200102-2900-003
Historical Active 199710-2900-005
VA
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans' Cemetery
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 04/13/2001
Retrieve Notice of Action (NOA) 02/28/2001
Approved. This collection previously expired in December 2000. VA shall take care to ensure that such future violations of the Paperwork Reduction Act do not occur.
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004
334,000 0 0
83,500 0 0
0 0 0
This form is used by next of kin or other responsible parties to obtain a government provided headstone or grave marker for eligible veterans.
None
None
No
1
IC Title Form No. Form Name
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans' Cemetery 40-1330
  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 334,000 0 0 334,000 0 0
Annual Time Burden (Hours) 83,500 0 0 83,500 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.
02/28/2001