Information Collection

Presidential Memorial Certificate (PMC)

IC 28757 under ICR 200701-2900-005 · OMB 2900-0567.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0567 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 40-0247 Presidential Memorial Certificate (PMC)	Form
VA Form 40-0247 Presidential Memorial Certificate (PMC) 2900-0567 VA Form 40-0247.doc	Form

IC Title:

Presidential Memorial Certificate (PMC)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 40-0247	Presidential Memorial Certificate (PMC)	2900-0567 VA Form 40-0247.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240,132

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	240,132	195,769	0	44,363
Annual IC Time Burden (Hours)	8,004	0	6,525	1,479
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.