Information Collection

State Cemetery Data Sheet and Cemetery Grant Documents

IC 28741 under ICR 201003-2900-011 · OMB 2900-0559.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form VA 40-0895-16
State or Tribal Government Cemetery Plan Preparation State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form 40-0241
State Cemetery Data State Cemetery Data Sheet and Cemetery Grant Documents
Form and Instruction
Form VA 40-0895-11
Memorandum of Agreement State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA 40-0895-10
Certification of Compliance State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-8
Certification Regarding Drug-Free Workplace State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-17
State or Tribal Government Cemetery Documentation of Grant Accomplishments State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-9
Certification Regarding Lobbying State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-12
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-2
Certification with Provisions of the Davis-Bacon Act State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-13
Certification Regarding Documents and Information for State or Tribal Government Cemetery Construction Grants - Post Grant Requirements State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-3
State or Tribal Government Cemetery Grants Service Space Program Analysis - Buildings State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-15
Certification of Cemetery Maintained in Accordance with National Cemetery Administration Standards State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-6
Certification of State or Tribal Government Matching Architectural and Engineering Funds to Qualify for Group 1 on the Priority List State Cemetery Data Sheet and Cemetery Grant Documents
Form
Form VA Form 40-0895-7
Certification Regarding Debarment, Suspension and Other Responsibility Matters Primary Covered Transactions - (State or Tribal Government) State Cemetery Data Sheet and Cemetery Grant Documents
Form
40-0241 State Cemetery Data
VA40-0241 050508.pdf

www.forms.va.gov/va/Internet/VARF/getformsharness.asp?formname=40-0241-form
Form and Instruction
VA 40-0895-11 Memorandum of Agreement
VA40-0895-11.pdf
Form
VA 40-0895-10 Certification of Compliance
VA40-0895-10.pdf
Form
VA 40-0895-16 State or Tribal Government Cemetery Plan Preparation
VA40-0895-16.pdf
Form
VA Form 40-0895-8 Certification Regarding Drug-Free Workplace
VA40-0895-8.pdf
Form
VA Form 40-0895-17 State or Tribal Government Cemetery Documentation of Gra
VA40-0895-17 (2).pdf
Form
VA Form 40-0895-9 Certification Regarding Lobbying
VA40-0895-9 (2).pdf
Form
VA Form 40-0895-12 Certification Regarding Debarment, Suspension, Ineligibi
VA40-0895-12.pdf
Form
VA Form 40-0895-2 Certification with Provisions of the Davis-Bacon Act
VA40-0895-2 (2).pdf
Form
VA Form 40-0895-13 Certification Regarding Documents and Information for St
VA40-0895-13.pdf
Form
VA Form 40-0895-3 State or Tribal Government Cemetery Grants Service Space
VA40-0895-3.pdf
Form
VA Form 40-0895-15 Certification of Cemetery Maintained in Accordance with
VA40-0895-15.pdf
Form
VA Form 40-0895-6 Certification of State or Tribal Government Matching Arc
VA40-0895-6.pdf
Form
VA Form 40-0895-7 Certification Regarding Debarment, Suspension and Other
VA40-0895-7.pdf
Form

Information Collection (IC) Details

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layout table

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 and Instruction 40-0241 http://www.forms.va.gov/va/Internet/VARF/getformsharness.asp?formname=40-0241-form Yes No Printable Only
Form VA 40-0895-11 No   Printable Only
Form VA 40-0895-10 No   Printable Only
Form VA 40-0895-16 No   Printable Only
Form VA Form 40-0895-8 No   Printable Only
Form VA Form 40-0895-17 No   Printable Only
Form VA Form 40-0895-9 No   Printable Only
Form VA Form 40-0895-12 No   Printable Only
Form VA Form 40-0895-2 No   Printable Only
Form VA Form 40-0895-13 No   Printable Only
Form VA Form 40-0895-3 No   Printable Only
Form VA Form 40-0895-15 No   Printable Only
Form VA Form 40-0895-6 No   Printable Only
Form VA Form 40-0895-7 No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 243 0 177 0 0 66
Annual IC Time Burden (Hours) 8,723 0 8,657 0 0 66
Annual IC Cost Burden (Dollars) 0 0 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.
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