APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES

ICR 198408-2900-009

OMB: 2900-0266

Federal Form Document

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ICR Details
2900-0266 198408-2900-009
Historical Active 198107-2900-052
VA
APPLICATION FOR REIMBURSEMENT OF HEADSTONE OR MARKER EXPENSES
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/25/1984
Retrieve Notice of Action (NOA) 08/06/1984
  Inventory as of this Action Requested Previously Approved
07/31/1987 07/31/1987
39,600 0 0
6,600 0 0
0 0 0

VA FORM 21-8834 IS USED BY ANY PERSON WHO PURCHASED AND PAID FOR A HEADSTONE, MARKER OR ADDITIONAL ENGRAVING ON BEHALF OF A DECEASED VETERAN OR SERVICE PERSON.

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 39,600 0 0 0 39,600 0
Annual Time Burden (Hours) 6,600 0 0 0 6,600 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.
08/06/1984


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