NCA PreNeed Burial Planning

Forms and Documents

Document Name	Status
Form 40-10007 NCA PreNeed Burial Planning Form	Modified
30-Day FRN Pre-Needs 2900-0784.pdf Supplementary Document	2019-10-22
CLEANcopyPre-Needs_Justification 2900-0784_02-11-20 (003).docx Supporting Statement A	2020-04-22
60-day FRN 2900-0784_VACO-0001-0105.pdf Supplementary Document	2019-08-13

IC Document Collections

IC ID	Document Title	Status
197568	NCA PreNeed Burial Planning Form	Modified

ICR Details

OMB Control No: 2900-0784	ICR Reference No: 201908-2900-005
Status: Active	Previous ICR Reference No: 201705-2900-012
Agency/Subagency: VA	Agency Tracking No:
Title: NCA PreNeed Burial Planning
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/23/2020
	Date Received in OIRA: 10/22/2019
Terms of Clearance: Within 120 days of approval, VA provide updated screenshots of the electronic version of this form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	36 Months From Approved	04/30/2020
Responses	47,400	0	36,000
Time Burden (Hours)	15,800	0	12,000
Cost Burden (Dollars)	0	0	0

---

Abstract: VA is developing a PreNeed burial eligibility evaluation to evaluate burial eligibility in a National Cemetery prior to the actual Time of Need. This service is in line with VA's core values to provide services in a caring manner and to alleviate distress, along with improving our performance through the use of innovative technologies. The PreNeed evaluation achieves the goal of getting benefit data to users more quickly.

---

Authorizing Statute(s): EO: EO 13426 Name/Subject of EO: The President's Commission on Care for America's Returning Wounded Warriors130,000
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 39893	08/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 55691	10/17/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NCA PreNeed Burial Planning	40-10007	Preneed Burial Planning

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	47,400	36,000	0	11,400	0	0
Annual Time Burden (Hours)	15,800	12,000	0	3,800	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: VA is responding to the emerging needs of Veterans and their family members to plan for burial in a VA national cemetery. We have moved from a mere planning tool to providing determinations of eligibility in advance of a time of need. This change supports the Secretary’s priority focusing on VA Business Systems Transformation by deploying one of the largest information technology (IT) systems innovations in Federal Government. VA revised the justification for VA Form 40-10007 to reflect an update of the annual number of responses, now estimated to be 47,400 respondents.

---

Annual Cost to Federal Government: $582,691

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/22/2019

---