OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Reimbursement of Headstone or Marker Expense (VA Form 21P-8834)

ICR 202406-2900-003 · OMB 2900-0266 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21P-8834 APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES Form Modified Repair queued
2900-0266 Supporting Statement (21P-8834) (reinstatement).docx Supporting Statement A Uploaded 2024-08-26 Repair queued
2024-18896.pdf Supplementary Document Uploaded 2024-08-26 Repair queued
2024-13375.pdf Supplementary Document Uploaded 2024-06-20 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
147844 APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES Form Modified
ICR Details
2900-0266 202406-2900-003
Received in OIRA 199304-2900-001
VA VBA-P&F-NK
Application for Reimbursement of Headstone or Marker Expense (VA Form 21P-8834)
Reinstatement without change of a previously approved collection   No
Regular 08/26/2024
  Requested Previously Approved
36 Months From Approved 06/30/1996
1,000 40,000
167 6,700
0 0
VA Form 21P-8834 is used by any person who purchased and paid for a headstone, marker or additional engraving on behalf of a deceased Veteran or Service Person.
US Code: 38 USC 2306 Name of Law: Headstones, markers, and burial receptacles
  
None
Not associated with rulemaking
  89 FR 51596 06/18/2024
89 FR 68242 08/23/2024
No
1
IC Title Form No. Form Name
APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES VA Form 21P-8834 Application for Reimbursement of Headstone or Marker Expenses
  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 1,000 40,000 0 -39,000 0 0
Annual Time Burden (Hours) 167 6,700 0 -6,533 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The burden decrease is due to a decrease in the number of receivables averaged over the past year.
$13,045
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [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.
08/26/2024