Information Collection

Certification Requirement for Funeral Honors Providers

IC 235422 under ICR 202205-2900-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Funeral Honors Providers	Form
Form VA40-10190 FUNERAL HONORS PROVIDERS CERTIFICATION FORM VA Form 40-10190, FUNERAL HONORS PROVIDERS CERTIFICATION FORM 010322.pdf	Form
Form VA40-10190 FUNERAL HONORS PROVIDERS CERTIFICATION FORM VA Form 40-10190, FUNERAL HONORS PROVIDERS CERTIFICATION FORM 010322.pdf	Form
Justification_2900-0865 Committal Services Memorial Services and Funeral Honors_ 05 2022 .docx Justification_2900-0865 Committal Services Memorial Services and Funeral Honors	IC Document
Justification_2900-0865 Committal Services Memorial Services and Funeral Honors_ 05 2022 .docx Justification_2900-0865 Committal Services Memorial Services and Funeral Honors	IC Document
60-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors 05 2022.docx 60-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors	IC Document
60-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors 05 2022.docx 60-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors	IC Document
30-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors 05 2022.docx 30-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors	IC Document
30-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors 05 2022.docx 30-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors	IC Document

IC Title:

Certification Requirement for Funeral Honors Providers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	VA Form 40-10190, FUNERAL HONORS PROVIDERS CERTIFICATION FORM 010322.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
	Approved	Previously Approved
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
Justification_2900-0865 Committal Services Memorial Services and Funeral Honors	Justification_2900-0865 Committal Services Memorial Services and Funeral Honors_ 05 2022 .docx	05/03/2022
60-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors	60-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors 05 2022.docx	05/03/2022
30-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors	30-Day FRN 2900-0865 Committal Services Memorial Services and Funeral Honors 05 2022.docx	05/03/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.