APPLICATION FOR STANDARD GOVERNMENT MONUMENT

ICR 199202-2900-006

OMB: 2900-0222

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
147638 Migrated
ICR Details
2900-0222 199202-2900-006
Historical Active 198906-2900-003
VA
APPLICATION FOR STANDARD GOVERNMENT MONUMENT
Revision of a currently approved collection   No
Regular
Approved without change 03/27/1992
Retrieve Notice of Action (NOA) 02/21/1992
  Inventory as of this Action Requested Previously Approved
03/31/1995 03/31/1995 06/30/1992
320,000 0 300,000
80,000 0 75,000
0 0 0

THIS FORM IS USED TO APPLY FOR A GOVERNMENT PROVIDED HEADSTONE OR MARK FOR UNMARKED GRAVES OF ELIGIBLE DECEASED VETERANS AND THEIR DEPENDENTS

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR STANDARD GOVERNMENT MONUMENT VA 40-1330

  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 320,000 300,000 0 0 20,000 0
Annual Time Burden (Hours) 80,000 75,000 0 0 5,000 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.
02/21/1992


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