OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Burial Benefits (Under 38 U.S.C. Chapter 23)

ICR 200811-2900-013 · OMB 2900-0003 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21-530 Application for Burial Benefits (Under 38 U.S.C. Chapter 23) Form Modified Available
OMB21-530(4-22-09).doc Supporting Statement A Uploaded 2009-04-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28070 Application for Burial Benefits (Under 38 U.S.C. Chapter 23) Form Modified
ICR Details
2900-0003 200811-2900-013
Historical Active 200709-2900-024
VA 2900-0003
Application for Burial Benefits (Under 38 U.S.C. Chapter 23)
Revision of a currently approved collection   No
Regular
Approved without change 08/25/2009
Retrieve Notice of Action (NOA) 04/23/2009
  Inventory as of this Action Requested Previously Approved
08/31/2012 36 Months From Approved 12/31/2010
300,000 0 300,000
110,000 0 100,000
0 0 0
VA Form 21-530 is necessary to determine whether burial benefits are payable and, if so, to whom. The benefit could not be properly paid without this information.
US Code: 38 USC 2303 Name of Law: Death in Department Facility; Plot Allowance
   US Code: 38 USC 2302 Name of Law: Funeral Expenses
  
None
Not associated with rulemaking
  73 FR 235 12/05/2008
74 FR 26 02/10/2009
Yes
1
IC Title Form No. Form Name
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) VA Form 21-530 Application for Burial Benefits
  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 300,000 300,000 0 0 0 0
Annual Time Burden (Hours) 110,000 100,000 0 10,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Additional questions were added to VA Form 21-530 because entities in the Veterans Benefits Administration required additional information to process the application.
$8,677,650
No
No
Uncollected
Uncollected
No
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
04/23/2009