Information Collection

State Application for Interment Allowance Under 38 U.S.C. Chapter 23

IC 28752 under ICR 201708-2900-011 · OMB 2900-0565.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0565 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-530a State Application for Interment Allowance Under 38 U.S.C. Chapter 23	Form
21P-530a State Application For Interment Allowance Under 38 U.S.C VA Form 21P-530a (508 Conformant 8-30-17).pdf www.va.gov/vaforms	Form

IC Title:

State Application for Interment Allowance Under 38 U.S.C. Chapter 23

Agency IC Tracking Number:

2900-0565

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	21P-530a	State Application For Interment Allowance Under 38 U.S.C. Chapter 23	VA Form 21P-530a (508 Conformant 8-30-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)

FR Citation: 77 FR 42593

Number of Respondents: 3,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,100	0	3,100
Annual IC Time Burden (Hours)	1,550	0	1,550
Annual IC Cost Burden (Dollars)	36,983	36,983	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.