OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530)

ICR 201605-2900-002 · OMB 2900-0003 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21P-530 Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530) Form Modified Available
OMB Passback - 2900-0003 Supporting Statement.docx Supporting Statement A Uploaded 2017-03-28 Available
2900-0003 30-Day FRN.pdf Supplementary Document Uploaded 2016-08-25 Repair queued
2900-0003 60-Day FRN.pdf Supplementary Document Uploaded 2016-06-07 Available
2900-0003 Revisions Description.docx Supplementary Document Uploaded 2016-05-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28070 Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530) Form Modified
ICR Details
2900-0003 201605-2900-002
Historical Active 201501-2900-012
VA VBA-P&F-YM
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530)
Revision of a currently approved collection   No
Regular
Approved with change 04/03/2017
Retrieve Notice of Action (NOA) 08/26/2016
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 06/30/2017
135,000 0 150,000
33,750 0 37,500
702,000 0 0
VA Form 21P-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 2302 Name of Law: Funeral expenses
   US Code: 38 USC 2303 Name of Law: Death in Department facility; plot allowance
   US Code: 38 USC 2304 Name of Law: Claims for Reimbursement
   US Code: 38 USC 2307 Name of Law: Death from service-connected disability
   US Code: 38 USC 2308 Name of Law: Transportation of deceased Veteran to a national cemetery
  
None
Not associated with rulemaking
  81 FR 36658 06/07/2016
81 FR 58557 08/25/2016
No
  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 135,000 150,000 0 -15,000 0 0
Annual Time Burden (Hours) 33,750 37,500 0 -3,750 0 0
Annual Cost Burden (Dollars) 702,000 0 0 0 702,000 0
No
Yes
Using Information Technology
VBA implemented automation procedures which resulted in burial benefits being paid to approximately 30,000 beneficiaries per year without the need for the beneficiary to submit an application. Some beneficiaries who receive these automatic payments subsequently submit an application to claim a higher amount of reimbursement than what they received. Therefore, VA did not identify a 1-to-1 reduction in the number of applications received. 135,000 responses represents the actual number of applications received in a given 12 month period.
$5,908,050
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 [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.
08/26/2016