Information Collection

Verification of Eligibility for Burial in a National Cemetery

IC 28474 under ICR 202308-2900-002 · OMB 2900-0232.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0232 can be found here:

Documents and Forms

Document Name Document Type
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery Form
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery Form
VA-40-4962 Verification of Eligibility for Burial in a National Cem VA40-4962(draft).pdf Form
VA-40-4962 Verification of Eligibility for Burial in a National Cem VA40-4962(draft).pdf Form
V40-4962 Verification of Eligibility for Burial in a National Cem VA40-4962(draft) 02-2023.pdf Form
V40-4962 Verification of Eligibility for Burial in a National Cem VA40-4962(draft) 02-2023.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Verification of Eligibility for Burial in a National Cemetery	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA-40-4962	Verification of Eligibility for Burial in a National Cemetery	VA40-4962(draft).pdf	TBD	Yes	Yes	Fillable Fileable
Form	V40-4962	Verification of Eligibility for Burial in a National Cemetery	VA40-4962(draft) 02-2023.pdf	TBD	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: 42VA41, âVeterans and Dependents National Cemetery Interment Records-VA	FR Citation: 40 FR 38095

Number of Respondents: 150,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150,000	15,000	135,000
Annual IC Time Burden (Hours)	37,500	3,750	33,750
Annual IC Cost Burden (Dollars)	0	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.