OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

State Application for Interment Allowance Under 38 U.S.C. Chapter 23 (VA Form 21P-530a)

ICR 201906-2900-001 · OMB 2900-0565 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21P-530a State Application for Interment Allowance Under 38 U.S.C. Chapter 23 Form Modified Available
2019-20135.pdf Supplementary Document Uploaded 2019-09-25 Available
SupportingStatement(2900-0565).docx Supporting Statement A Uploaded 2019-07-23 Repair queued
2019-13994.pdf Supplementary Document Uploaded 2019-07-23 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 201906-2900-001
Active 201708-2900-011
VA VBA-P&F-NK
State Application for Interment Allowance Under 38 U.S.C. Chapter 23 (VA Form 21P-530a)
Revision of a currently approved collection   No
Regular
Approved without change 12/19/2019
Retrieve Notice of Action (NOA) 10/28/2019
In its next revision or extension request for this collection, VA shall consult the VA Privacy Office on whether the routine uses listed in the Privacy Act statement satisfy the requirements of 5 USC 552a(e)(3)(C).
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved 04/30/2021
46,500 0 3,100
3,875 0 1,550
171,430 0 36,983
VA Form 21P-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 2302 Name of Law: Funeral expenses
  
None
Not associated with rulemaking
  84 FR 13994 07/01/2019
84 FR 20135 09/18/2019
No
1
IC Title Form No. Form Name
State Application for Interment Allowance Under 38 U.S.C. Chapter 23 VA Form 21P-530a State Application for Internment 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 46,500 3,100 0 43,400 0 0
Annual Time Burden (Hours) 3,875 1,550 0 2,325 0 0
Annual Cost Burden (Dollars) 171,430 36,983 0 134,447 0 0
Yes
Miscellaneous Actions
No
VBA is revising the form to collect information for a single Veteran. Previously, the information of up to fifteen Veterans could have been collected on the form. This change is being implemented to improve claims processing efficiency, to better protect Veterans’ Personally Identifiable Information, and to improve VBA’s ability to account for payments made to State Veterans’ cemeteries. This change caused the following: First, the estimated completion time per response was reduced to five minutes from thirty minutes. Second, the number of annual responses increased from 3,100 to 46,500. The combined effect is a change in requested burden hours from to 3,875 from 1,550.
$1,386,320
No
    Yes
    Yes
No
No
No
Uncollected
Danny Green 202 421-1354 [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.
10/28/2019