Information Collection

Verification of Eligibility for Burial in a National Cemetery

IC 28474 under ICR 202006-2900-004 · OMB 2900-0232.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0232 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery	Form
VA-40-4962 Verification of Eligibility for Burial in a National Cem Form VA40-4962 Final_042920.pdf	Form

IC Title:

Verification of Eligibility for Burial in a National Cemetery

Agency IC Tracking Number:

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	VA-40-4962	Verification of Eligibility for Burial in a National Cemetery	Form VA40-4962 Final_042920.pdf	TBD	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: 42VA41, âVeterans and Dependents National Cemetery Interment Records-VA

FR Citation: 40 FR 38095

Number of Respondents: 135,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	135,000	135,000
Annual IC Time Burden (Hours)	33,750	33,750
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.