OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Verification of Eligibility for Burial in a National Cemetery

ICR 201808-2900-010 · OMB 2900-0232 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery Form Modified Repair queued
30-day FRN 2900-0232.pdf Supplementary Document Uploaded 2018-08-21 Repair queued
60-day FRN 2900-0232.pdf Supplementary Document Uploaded 2018-08-21 Available
OMB 2900-0232 PRA Collection Justification final 083018.docx Supporting Statement A Uploaded 2018-08-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28474 Verification of Eligibility for Burial in a National Cemetery Form Modified
ICR Details
2900-0232 201808-2900-010
Historical Active 199605-2900-001
VA
Verification of Eligibility for Burial in a National Cemetery
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/31/2018
Retrieve Notice of Action (NOA) 08/30/2018
  Inventory as of this Action Requested Previously Approved
10/31/2021 36 Months From Approved
135,000 0 0
33,750 0 0
0 0 0
VA requires applicants for national cemetery burial to provide information to verify eligibility for burial in a national cemetery, to schedule interment and to provide services requested by the decedent’s family or personal representative. This information is also used for planning and scheduling cemetery services and to provide for specific requests from family members or the personal representative.
None
None
Not associated with rulemaking
  83 FR 20160 05/07/2018
83 FR 38209 08/03/2018
No
1
IC Title Form No. Form Name
Verification of Eligibility for Burial in a National Cemetery VA-40-4962 VERIFICATION OF ELIGIBILITY FOR BURIAL IN A NATIONAL CEMETERY
  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 0 0 64,478 0 70,522
Annual Time Burden (Hours) 33,750 0 0 21,996 0 11,754
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
VA is responding to the needs of Veterans and their family members to plan for and schedule a burial in a national cemetery. We are streamlining our methods to collect eligibility information and we are using electronic and automated means to verify eligibility, schedule interment and provide for cemetery burial services. VA revised the justification for this information collection activity to reflect an increase of the annual number of responses, now estimated to be 135,000 respondents.
$2,280,200
No
    Yes
    Yes
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.
08/30/2018