Information Collection Request

Presidential Memorial Certificate (PMC)

ICR 202208-2900-010 · OMB 2900-0567 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA40-0247 Presidential Memorial Certificate (PMC) Form and Instruction Modified Available
Description of Changes to VA Form 40-0247 (OMB Number 2900-0567) 8-17-2022.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-08-19 Available
30-Day FRN 2900-0567.pdf Supplementary Document Uploaded 2020-07-30 Available
60-Day 2900-0567.pdf Supplementary Document Uploaded 2020-07-30 Available
OMB Justification 2900-0567 051920 Final.docx Supporting Statement A Uploaded 2020-07-30 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28757 Presidential Memorial Certificate (PMC) Form and Instruction Modified
ICR Details
2900-0567 202208-2900-010
Active 202003-2900-012
VA 2900-0567
Presidential Memorial Certificate (PMC)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/24/2022
Retrieve Notice of Action (NOA) 08/24/2022
  Inventory as of this Action Requested Previously Approved
09/30/2023 09/30/2023 09/30/2023
125,000 0 125,000
6,250 0 6,250
0 0 0

Information is used to provide additional certificates requested by respondent. A respondent is an eligible recipient that includes the next-of-kin, other relatives or friends that request additional certificates and/or replacement certificates.

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 112 Name of Law: Presidential memorial certificate program
  
None

Not associated with rulemaking

  85 FR 30023 05/19/2020
85 FR 45739 07/29/2020
No

1
IC Title Form No. Form Name
Presidential Memorial Certificate (PMC) VA40-0247, VA40-0247 Presidential Memorial Certificate Request Form ,   Presidential Memorial Certificate Request Form

  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 125,000 125,000 0 0 0 0
Annual Time Burden (Hours) 6,250 6,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$148,051
No
    Yes
    Yes
No
No
No
No
Brian Hurley 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.
08/24/2022