Information Collection

Certification Requirement for non-DoD Funeral Honors Providers

IC 235422 under ICR 201902-2900-014 · OMB 2900-0865.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0865 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form VA40-10190 Certification Requirement for non-DoD Funeral Honors Providers	Form
Form VA40-10190 FUNERAL HONORS PROVIDERS CERTIFICATION FORM VA40-10190_032519.pdf	Form

IC Title:

Certification Requirement for non-DoD Funeral Honors Providers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	Form VA40-10190	FUNERAL HONORS PROVIDERS CERTIFICATION FORM	VA40-10190_032519.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 380

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	380	380
Annual IC Time Burden (Hours)	32	32
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.