Casket/Urn Reimbursement

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA 40-10088 Casket/Urn Reimbursement	Form and Instruction	Modified	Repair queued
Justification_Casket.Urn Reimbursement VA Form 40-10088_5-2015.docx	Supporting Statement A	Uploaded 2015-05-15	Available
change doc a099 031715 emp.docx	Supplementary Document	Uploaded 2015-03-17	Available
201501-2900-008_Change Document AO99 VA Form 40-10088 Request for Reimbursement of Cask_2015-03-03 Comments (NCA revised 03 10 2015).docx	Supplementary Document	Uploaded 2015-03-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209624	Casket/Urn Reimbursement	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0799	ICR Reference No: 201504-2900-006
Status: Historical Active	Previous ICR Reference No: 201501-2900-008
Agency/Subagency: VA	Agency Tracking No:
Title: Casket/Urn Reimbursement
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2015
	Date Received in OIRA: 05/13/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved
Responses	670	0	0
Time Burden (Hours)	168	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Veterans Affairs (VA) National Cemetery Administration (NCA) proposes to establish VA regulations to implement new statutory authority for NCA to provide reimbursement for the purchase of caskets and urns for the interment of the remains of Veterans without next of kin (NOK) and sufficient resource available for burial.

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Authorizing Statute(s): US Code: 38 USC 2306 Name of Law: Headstones, Markers, and Burial Receptacles
  

Citations for New Statutory Requirements: US Code: 38 USC 2306 Name of Law: Headstones, Markers, and Burial Receptacles
PL: Pub.L. 112 - 260 101 Name of Law: The Dignified Burial and other Veterans Improvement Act of 2012

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AO99	Final or interim final rulemaking	80 FR 70	04/13/2015

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 127	07/02/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Casket/Urn Reimbursement	VA 40-10088	Request for Reimbursement of Casket/Urn

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ICR Summary of Burden

table that charts list of burden

	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	670	0	0	670	0	0
Annual Time Burden (Hours)	168	0	0	168	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection, therefore all hours are considered a burden increase.

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Annual Cost to Federal Government: $8,888

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/13/2015

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