Information Collection

Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery

IC 28470 under ICR 201703-2900-016 · OMB 2900-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA40-1330 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery	Form and Instruction
VA40-1330 Claim For Standard Government Headstone or Marker VA40-1330(Draft).pdf www.va.gov/vaforms/va/pdf/40-1330.pdf	Form and Instruction
VA 40-1330M Claim For Government Medallion For Placement in a Privat VA40-1330M(DRAFT).pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf	Form and Instruction

IC Title:

Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery

Agency IC Tracking Number:

2900-0222

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 1.632 38 CFR 38.632

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	VA40-1330	Claim For Standard Government Headstone or Marker	VA40-1330(Draft).pdf	www.va.gov/vaforms/va/pdf/40-1330.pdf	Yes	No	Fillable Printable
Form and Instruction	VA 40-1330M	Claim For Government Medallion For Placement in a Private Cemetery	VA40-1330M(DRAFT).pdf	www.va.gov/vaforms/va/pdf/40-1330M.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: 48VA40B Veterans (Deceased) Headstone or Marker Records-VA

FR Citation: 40 FR 38095

Number of Respondents: 166,135

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	166,135	-188,438	354,573
Annual IC Time Burden (Hours)	41,534	-47,109	88,643
Annual IC Cost Burden (Dollars)	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.