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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 40-10007 NCA PreNeed Burial Eligibility Evaluation	Form
40-10007 Preneed Burial Planning VA40-10007.pdf	Form

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:

table that charts list of 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 %

table that charts list of burden
	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

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.