APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES

ICR 198011-2900-100

OMB: 2900-0266

Federal Form Document

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Document
Name
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IC Document Collections
ICR Details
2900-0266 198011-2900-100
Historical Active 198002-2900-006
VA
APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES
No material or nonsubstantive change to a currently approved collection   No
Emergency 11/06/1980
Approved with change 11/06/1980
Retrieve Notice of Action (NOA) 11/06/1980
  Inventory as of this Action Requested Previously Approved
02/28/1985 02/28/1985 02/28/1985
33,000 0 26,400
5,500 0 4,400
0 0 0

ABSTRACT: THIS APPLICATION IS USED TO FILE A CLAIM FOR THE HEADSTONE OR MAKER REIMBURSEMENT BENEFITS IN LIEU OF A HEADSTONE OR FURNISHED AT GOVERNMENT EXPENSE. UPON RECEIPT OF NOTIFICATION THAT THE CLAIMANT HAS NOT REQUESTED A GOVERNMENT HEADSTONE OR MARKER, THEN REIMBURSEMENT WILL BE MADE AS APPLICABLE. AUTHORITY IS 38 U.S.C. 906.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES 21-8834

  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 33,000 26,400 0 6,600 0 0
Annual Time Burden (Hours) 5,500 4,400 0 1,100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/06/1980


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