Information Collection

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

IC 28470 under ICR 202102-2900-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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 VA40-1330 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction
VA40-1330 Claim For Standard Government Headstone or Marker VA40-1330 Final 041321.pdf www.va.gov/vaforms/va/pdf/40-1330.pdf Form and Instruction
VA40-1330 Claim For Standard Government Headstone or Marker FORM VA40-1330, CLAIM FOR STAND GOVT HEADSTONE OR MARKER_062921.pdf www.va.gov/vaforms/va/pdf/40-1330.pdf Form and Instruction
VA 40-1330M Claim For Government Medallion For Placement in a Privat VA40-1330M_FINAL_031721.pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf Form and Instruction
VA 40-1330M Claim For Government Medallion For Placement in a Privat FORM VA40-1330M CLAIM FOR GOVT MEDALLION FOR PLACEMNT IN PRIV CEM (002) 062921.pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery	Agency IC Tracking Number:

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	VA40-1330	Claim For Standard Government Headstone or Marker	FORM VA40-1330, CLAIM FOR STAND GOVT HEADSTONE OR MARKER_062921.pdf	www.va.gov/vaforms/va/pdf/40-1330.pdf	Yes	No	Fillable Printable
Form and Instruction	VA 40-1330M	Claim For Government Medallion For Placement in a Private Cemetery	FORM VA40-1330M CLAIM FOR GOVT MEDALLION FOR PLACEMNT IN PRIV CEM (002) 062921.pdf	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: 48VA40B Veterans (Deceased) Headstone or Marker Records-VA	FR Citation: 40 FR 38095

Number of Respondents: 166,135	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	166,135	166,135
Annual IC Time Burden (Hours)	41,534	41,534
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.