OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202102-2900-013 · OMB 2900-0222 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form VA40-1330 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction Modified Repair queued
2900-0222 30-day FRN.pdf Supplementary Document Uploaded 2021-05-19 Repair queued
2900-0222 60-day Reinstate FRN_031821.pdf Supplementary Document Uploaded 2021-03-22 Repair queued
OMB Justification 2900-0222 051321_FINAL.docx Supporting Statement A Uploaded 2021-05-13 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
28470 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction Modified
ICR Details
2900-0222 202102-2900-013
Received in OIRA 201703-2900-016
VA 2900-0222
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery
Reinstatement with change of a previously approved collection   No
Regular 05/19/2021
  Requested Previously Approved
36 Months From Approved
166,135 0
41,534 0
0 0
VA Form 40-1330 is used by the public to apply for Government-provided headstones or markers for unmarked graves of eligible veterans in accordance with 38 USC 2306. It is the source of information used to evaluate the applicant’s claim for the benefit. The information is requested under 38 CFR 38.632 and represents the minimum requirement by VA to properly determine the veteran’s eligibility for, and entitlement to, this benefit. VA Form 40-1330M is used by the public to apply for Government-provided medallions to be affixed to privately purchased headstones or markers of veterans that died on or after November 1, 1990. It is the source of information used to evaluate the applicant’s claim for the benefit. The information is requested under 38 CFR 38.632 and represents the minimum requirement by VA to properly determine the veteran’s eligibility for, and entitlement to, this benefit.
US Code: 38 USC Section 2306 Name of Law: Headstones, markers, and burial receptacles
   PL: Pub.L. 110 - 157 201 Name of Law: . James Allen Veteran Vision Equity Act of 2007
   US Code: 38 USC Section 2411 Name of Law: The Dignified Burial and Other Veterans' Benefits Improvement Act of 2012
   PL: Pub.L. 107 - 103 501 and 502 Name of Law: Government Markers for Marked Graves at Private Cemeteries
  
PL: Pub.L. 110 - 157 201 Name of Law: Blinded Veterans Paired Organs Act of 2007
Not associated with rulemaking
  86 FR 14799 03/18/2021
86 FR 27144 05/19/2021
Yes
  Total Request 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 166,135 0 0 0 0 166,135
Annual Time Burden (Hours) 41,534 0 0 0 0 41,534
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,240,180
No
    Yes
    Yes
No
No
No
No
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.
05/19/2021