Information Collection

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

IC 28470 under ICR 201112-2900-006 · OMB 2900-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0222 can be found here:

Documents and Forms

Document Name Document Type
Form 40-1330 Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction
40-1330 Application for Standard Headstone or Marker for Install VA 40-1330 Nov 2011.pdf www.va.gov/vaforms/va/pdf/40-1330.pdf Form and Instruction
VA Form 40-1330M Claim for government Medallion for Installation in a Pri VA 40-1330M Dec 2011.pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery	Agency IC Tracking Number:	2900-0222

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 1.632 38 CFR 38.632

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	40-1330	Application for Standard Headstone or Marker for Installation in a Private or State Veterans' Cemetery	VA 40-1330 Nov 2011.pdf	http://www.va.gov/vaforms/va/pdf/40-1330.pdf	Yes	No	Printable Only
Form and Instruction	VA Form 40-1330M	Claim for government Medallion for Installation in a Private Cemetery	VA 40-1330M Dec 2011.pdf	http://www.va.gov/vaforms/va/pdf/40-1330M.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 374,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	374,000	374,000
Annual IC Time Burden (Hours)	93,500	93,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.