Notice of Approval - Form 40-10007

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

12/18/2015

Department of Veterans Affairs

FOR CERTIFYING OFFICIAL:

Stephen Warren

FOR CLEARANCE OFFICER:

Crystal Rennie

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
12/07/2015
ACTION REQUESTED:

No material or nonsubstantive change to a currently approved collection

TYPE OF REVIEW REQUESTED:

Regular

ICR REFERENCE NUMBER:

201512-2900-002

AGENCY ICR TRACKING NUMBER:
TITLE:

NCA PreNeed Burial Planning

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

2900-0784

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 11/30/2018

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

8,000

2,000

0

New

8,000

2,000

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the previous clearance remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Acting Deputy Administrator,
Office Of Information And Regulatory Affairs

List of ICs
IC Title
NCA PreNeed Burial Planning 40-10007

Form No.

Form Name
Preneed Burial Planning

CFR Citation