Information Collection

NCA PreNeed Burial Eligibility Evaluation

IC 197568 under ICR 201105-2900-002 · OMB 2900-0784.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0784 can be found here:

Documents and Forms

Document Name Document Type
Form 40-10007 NCA PreNeed Burial Eligibility Evaluation Form
40-10007 Preneed Burial Planning VA40-10007.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCA PreNeed Burial Eligibility Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	40-10007	Preneed Burial Planning	VA40-10007.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.