Gravesite Reservation Questionnaire (2-Year)
OMB 2900-0546VA Form FL-4040
A. Justification
Explain the circumstances that make the collection of information necessary. Identify legal or administrative requirements that necessitate the collection of information.
From the late 1940’s until January 1962, the Department of the Army allowed active duty servicepersons and surviving spouses of deceased veterans interred in national cemeteries to reserve gravesites for their interments. Recurring gravesite reservation contact are necessary as some reservees become ineligible, are buried elsewhere, or cancel their reservations; therefore, reserved gravesites would exist forever without use. VA FL 40-40 is used for this program to ensure that veterans upon their death would have space for themselves and eligible family members in national cemeteries.
Legal authority for this information collection is under statute(s): US Code 38, USC 2402, para 6, Gravesite Reservation; Public Law 108 – 183, Section 502, Eligibility of Surviving Spouses Who Remarry for Burial in National Cemeteries.
Currently, the Gravesite Reservation Program utilizes FL 40-40 only for veterans and eligible persons to retain reserved space in a national cemetery. With this form VA is able to maintain an accurate accounting of who is reserved in a particular cemetery and who does not wish to hold their previously claimed plot.
Indicate how, by whom, and for what purposes the information is to be used; indicate actual use the agency has made of the information received from current collection.
The Questionnaire is necessary to assure unneeded gravesite reservations do not go unused. Some holders become ineligible, are buried elsewhere, or simply wish to cancel a gravesite reservation. If such a questionnaire were not performed, unused reservations would exist needlessly. Other veterans or eligible persons may use these spaces. The questionnaire provides full knowledge of gravesite availability.
Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g. permitting electronic submission of responses, and the basis for the decision for adopting this means of collection. Also describe any consideration of using information technology to reduce burden.
Automated technology is required to prepare questionnaire, and for storage and retrieval of information upon receipt. Reservations have been reduced by approximately 800 records each year as holders become ineligible, are buried elsewhere, or cancel their gravesite reservation.
Describe efforts to identify duplication. Show specifically why any similar information already available cannot be used or modified for use for the purposes described in Item 2 above.
The information is not contained in any other VA record nor is it available from any other source.
If the collection of information impacts small businesses or other small entities, describe any methods used to minimize burden.
The collection of information does not involve small businesses or entities.
Describe the consequences to Federal program or policy activities if the collection is not conducted or is conducted less frequently as well as any technical or legal obstacles to reducing burden.
Biennial questionnaire is made to determine if the holder desires to continue the gravesite reservation. If the information collection were conducted less frequently, the database would lack credibility.
Explain any special circumstances that would cause an information collection to be conducted more often than quarterly or require respondents to prepare written responses to a collection of information in fewer than 30 days after receipt of it; submit more than an original and two copies of any document; retain records, other than health, medical, government contract, grant-in-aid, or tax records for more than three years; in connection with a statistical survey that is not designed to produce valid and reliable results that can be generalized to the universe of study and require the use of a statistical data classification that has not been reviewed and approved by OMB.
There
is no special circumstance requiring collection in a manner
inconsistent with
5 CFR 1320.6 guidelines.
If applicable, provide a copy and identify the date and page number of publication in the Federal Register of the sponsor’s notice, required by 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the sponsor in responses to these comments. Specifically address comments received on cost and hour burden.
The Department notice was published in the Federal Register on Thursday, May 28, 2020, Volume 85, No. 103, page 32102. No public comments were received.
Explain any decision to provide any payment or gift to respondents, other than remuneration of contractors or grantees.
No payments or gifts to respondents have been made under this collection of information.
Describe any assurance of privacy, to the extent permitted by law, provided to respondents and the basis for the assurance in statute, regulation, or agency policy.
The
information collection conforms to the Privacy Act of 1974 and is
subject to the conditions of disclosure contained therein. The
records are maintained in the system identified as (42VA41),
“Veterans and Dependents National Cemetery Interment
Records-VA,” as published in the Federal Register (#40
FR38095),
August 26, 1995.
Provide additional justification for any questions of a sensitive nature (Information that, with a reasonable degree of medical certainty, is likely to have a serious adverse effect on an individual's mental or physical health if revealed to him or her), such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private; include specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and any steps to be taken to obtain their consent.
There are no questions of a sensitive nature.
Estimate of the hour burden of the collection of information:
Estimate
the number of respondents, frequency of responses,
annual hour
burden
Number of Respondents: 25,000
Frequency of Response: 1
Annual Burden Hours: 4,167
Estimated Completion Time: 10 min
b. If this request for approval covers more than one form, provide separate hour burden estimates for each form and aggregate the hour burdens in Item 13 of OMB 83-I.
This request covers one form.
c. Provide estimates of annual cost to respondents for the hour burdens for collections of information, identifying and using appropriate wage rate categories. The cost of contracting out or paying outside parties for information collection activities should not be included here. Instead, this cost should be included in Item 14. Include source link or Bureau of Labor Statistics code used for cost estimates.
According
to the May 2019, U.S. Bureau of Labor Statistics, National
Occupational Employment and Wage Estimates Average Hourly Earnings,
the mean hourly wage is $25.72, therefore, the cost to the respondent
is $107,149.52 (4,166 burden hours x $25.72 per hour) All Occupations
link: https://www.bls.gov/oes/current/oes_nat.htm#00-0000
Provide an estimate of the total annual cost burden to respondents or recordkeepers resulting from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14).
This submission does not involve any recordkeeping costs.
Provide estimates of annual cost to the Federal Government. Also, provide a description of the method used to estimate cost, which should include quantification of hours, operation expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not have been incurred without this collection of information. Agencies also may aggregate cost estimates from Items 12, 13, and 14 in a single table. Include source link or General Schedule used for cost estimates.
Estimated Costs to the Federal Government: $35,989.00
Forms are available on the VA inter/intranet forms websites.
Web
Services Support, 2 IT Specialists, GS-14/4
($56.82 hourly
rate):
4,166 burden hours ÷ 60 min. = 69.43 hrs. x
$56.82 = $3,945.01
x 2 = $7,890.02
VA
Forms Manager, GS-13/5
($49.54 hourly rate):
4,166 burden hours ÷ 60 min. =
69.43 hrs. x $49.54 = $3,439.56
Processing/Analyzing costs:
2 Program Specialist, GS-13/5 ($49.54 hourly rate):
4,166
burden hours ÷ 60 min. = 69.43 hrs. x $49.54 = $3,439.56
x
2 = $6,879.12
3
Program Analysts at GS-9/1
($25.35 hourly rate): Burial Operations
Support
4,166
burden hours ÷
60 min. = 69.43 hrs. x $25.35 = $1,760 x 3 = $5,280
Print Reproduction (overhead): $12,500
Source: https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2020/RUS_h.pdf
Explain the reason for any burden hour changes since the last submission.
There is no change in burden.
For collections of information whose results will be published, outline plans for tabulation and publication. Address any complex analytical techniques that will be used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other actions.
The information collection is not for publication or tabulation use.
If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate.
We are not seeking approval to omit the expiration date for OMB approval.
Explain each exception to the certification statement identified in Item 19, “Certification for Paperwork Reduction Act Submissions,” of OMB 83-I.
This submission does not contain any exceptions to the certification statement.
B. Collection of Information Employing Statistical Methods
This collection of information does / does not employ statistical methods.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Harvey-Pryor, Cynthia |
| File Modified | 0000-00-00 |
| File Created | 2021-01-14 |