Information Collection

Verification of Eligibility for Burial in a National Cemetery

IC 28474 under ICR 202504-2900-015 · OMB 2900-0232.

Documents and Forms

Document Name Document Type
Form V40-4962 Verification of Eligibility for Burial in a National Cemetery Form
Form V40-4962 Verification of Eligibility for Burial in a National Cemetery Verification of Eligibility for Burial in a National Cemetery Form
V40-4962 Verification of Eligibility for Burial in a National Cem VA Form 40-4962 please review 3-10-2025.pdf Form
V40-4962 Verification of Eligibility for Burial in a National Cem VA Form 40-4962 please review 3-10-2025.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	V40-4962	Verification of Eligibility for Burial in a National Cemetery	VA Form 40-4962 please review 3-10-2025.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	Previously Approved
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	37,500	37,500
Annual IC Cost Burden (Dollars)	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.

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