APPLICATION FOR BURIAL

ICR 197510-2900-010

OMB: 2900-0232

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
147677 Migrated
ICR Details
2900-0232 197510-2900-010
Historical Active
VA
APPLICATION FOR BURIAL
Revision of a currently approved collection   No
Regular
Approved without change 10/23/1975
Retrieve Notice of Action (NOA) 10/15/1975
  Inventory as of this Action Requested Previously Approved
10/31/1980 10/31/1980
36,000 0 0
6,000 0 0
0 0 0

VA FORM 40-4962, APPLICATION FOR BURIAL - THIS FORM IS REQUIRED FOR USE BY PERSONNEL OF THE NATIONAL CEMETERIES AS A WORK SHEET TO COLLECT DATA REQUIRED TO VERIFY QUALIFYING MILITARY SERVICE DATA FOR PURPOSE OF BURIAL IN A NATIONAL CEMETERY, RECORDING THE INTERMENT SERVICE ARRANGEMENTS TO BE HELD AT THE NATIONAL CEMETERY, THE ASSIGNMENT OF

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR BURIAL 40-4962

  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 36,000 0 0 0 36,000 0
Annual Time Burden (Hours) 6,000 0 0 0 6,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
10/15/1975


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