OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

State Application for Interment Allowance Under 38 U.S.C. Chapter 23

ICR 201107-2900-025 · OMB 2900-0565 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21-530a State Application for Interment Allowance Under 38 U.S.C. Chapter 23 Form Modified Repair queued
2900-0565 justification.docx Supporting Statement A Uploaded 2012-02-02 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28752 State Application for Interment Allowance Under 38 U.S.C. Chapter 23 Form Modified
ICR Details
2900-0565 201107-2900-025
Historical Active 200811-2900-004
VA 2900-0565
State Application for Interment Allowance Under 38 U.S.C. Chapter 23
Extension without change of a currently approved collection   No
Regular
Approved without change 03/27/2012
Retrieve Notice of Action (NOA) 02/02/2012
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 03/31/2012
3,100 0 3,100
1,550 0 1,550
0 0 0
VA Form 21-530a is used to gather information that is necessary to determine whether a State is eligible for interment allowances for eligible veterans who have been buried in a State Veteran's cemetery. Without this information, VA would be unable to properly determine eligibility and pay benefits.
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
  76 FR 188 09/28/2011
77 FR 2 01/04/2012
No
1
IC Title Form No. Form Name
State Application for Interment Allowance Under 38 U.S.C. Chapter 23 VA Form 21-530a State Application For Interment Allowance Under 38 U.S.C. Chapter 23
  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 3,100 3,100 0 0 0 0
Annual Time Burden (Hours) 1,550 1,550 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$88,522
No
No
No
No
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.
02/02/2012