Information Collection

Certification Requirement for non-DoD Funeral Honors Providers

IC 235422 under ICR 201906-2900-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification Requirement for non-DoD Funeral Honors Providers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	Approved	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

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.