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 202504-2900-013 · OMB 2900-0222 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA40-1330M Claim for Government Medallion For Placement in a Private Cemetery Form and Instruction Modified Available
Form VA40-1330 Claim for Standard Government Headstone or Marker Form and Instruction Modified Available
Form VA40-1330 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction Modified Repair queued
Non-Substantive Change Request OMB Control Number 2900-0222.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-28 Available
Non-Substantive Change Request OMB Control Number 2900-0222.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-28 Repair queued
NCA RESPONSE_VFW public comment_OMB 2900-0222 09 09 2024.pdf Supplementary Document Uploaded 2024-09-12 Available
NCA RESPONSE_VFW public comment_OMB 2900-0222 09 09 2024.pdf Supplementary Document Uploaded 2024-09-12 Repair queued
30-Day FRN_ 2900-0222_07-26-24.pdf Supplementary Document Uploaded 2024-07-26 Available
30-Day FRN_ 2900-0222_07-26-24.pdf Supplementary Document Uploaded 2024-07-26 Repair queued
60 Day FRN 2900-0222 07 2024.pdf Supplementary Document Uploaded 2024-07-23 Repair queued
60 Day FRN 2900-0222 07 2024.pdf Supplementary Document Uploaded 2024-07-23 Missing upstream
Description of Changes to VA Forms 40-1330 and 40-1330M (control number 2900-0222) 081722.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-08-18 Repair queued
Description of Changes to VA Forms 40-1330 and 40-1330M (control number 2900-0222) 081722.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-08-18 Repair queued
OMB Supporting Statement A 40-1330 and 40-1330M 07-26-24.docx Supporting Statement A Uploaded 2024-07-26 Available
OMB Supporting Statement A 40-1330 and 40-1330M 07-26-24.docx Supporting Statement A Uploaded 2024-07-26 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 ModifiedClaim for Government Medallion For Placement in a Private Cemetery
28470 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction ModifiedClaim for Standard Government Headstone or Marker
28470 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction Modified
ICR Details
2900-0222 202504-2900-013
Active 202405-2900-014
VA 2900-0222
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/02/2025
Retrieve Notice of Action (NOA) 04/28/2025
This request is approved to revise questions to align with E.O. 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.
  Inventory as of this Action Requested Previously Approved
09/30/2027 09/30/2027 09/30/2027
183,035 0 183,035
45,759 0 45,759
0 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
Not associated with rulemaking
  89 FR 45748 05/23/2024
89 FR 60689 07/26/2024
No
  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 183,035 183,035 0 0 0 0
Annual Time Burden (Hours) 45,759 45,759 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,599,726
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.
04/28/2025