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 202108-2900-001 · 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
OMB Justification 2900-0222 (FR) 073121.docx Supporting Statement A Uploaded 2021-08-06 Repair queued
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 202108-2900-001
Received in OIRA 202102-2900-013
VA 2900-0222
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery
Revision of a currently approved collection   No
Regular 08/06/2021
  Requested Previously Approved
36 Months From Approved 07/31/2024
166,135 166,135
41,534 41,534
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 2411 Name of Law: The Dignified Burial and Other Veterans' Benefits Improvement Act of 2012
   US Code: 38 USC Section 2306 Name of Law: Headstones, markers, and burial receptacles
   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: . James Allen Veteran Vision Equity Act of 2007
  
PL: Pub.L. 110 - 157 201 Name of Law: Blinded Veterans Paired Organs Act of 2007
2900-AQ28 Final or interim final rulemaking 86 FR 43091 08/06/2021
  84 FR 2093 02/06/2019
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 166,135 166,135 0 0 0 0
Annual Time Burden (Hours) 41,534 41,534 0 0 0 0
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.
08/06/2021