VERIFICATION OF ELIGIBILITY FOR BURIAL IN A NATIONAL CEMETERY

ICR 198011-2900-004

OMB: 2900-0232

Federal Form Document

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Name
Status
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IC Document Collections
ICR Details
2900-0232 198011-2900-004
Historical Active 198010-2900-016
VA
VERIFICATION OF ELIGIBILITY FOR BURIAL IN A NATIONAL CEMETERY
Revision of a currently approved collection   No
Regular
Approved without change 01/12/1981
Retrieve Notice of Action (NOA) 11/07/1980
  Inventory as of this Action Requested Previously Approved
10/31/1985 10/31/1985 11/30/1980
41,120 0 36,000
6,853 0 6,000
0 0 0

THIS FOR 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 THE PURPOSE OF BURIAL IN A NATIONAL CEMETERY, RECORD ING THE INTERMENT SERVICE ARRANGEMENTS TO BE HELD AT THE NATIONAL CEMETERY, THE ASSIGNMENT OF THE GRAVESITE TO BE USED, AND TO INDICATE HOW THE BURIAL IS TO BE MADE.

None
None


No

1
IC Title Form No. Form Name
VERIFICATION OF ELIGIBILITY FOR BURIAL IN A NATIONAL CEMETERY 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 41,120 36,000 0 0 5,120 0
Annual Time Burden (Hours) 6,853 6,000 0 0 853 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.
11/07/1980


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