Information Collection

Request for Disinterment

IC 28570 under ICR 202208-2900-006 · OMB 2900-0365.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0365 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 40-4970 Request for Disinterment	Form
40-4970 Request for Disinterment VA40-4970(draft) 8-18-2022.pdf www.va.gov/vaforms/va/pdf/VA40-4970.pdf	Form
40-4970 Request for Disinterment VA40-4970(draft) 8-18-2022.pdf www.va.gov/vaforms/va/pdf/VA40-4970.pdf	Form

IC Title:

Request for Disinterment

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	40-4970	Request for Disinterment	VA40-4970(draft) 8-18-2022.pdf	www.va.gov/vaforms/va/pdf/VA40-4970.pdf	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: 42VA41, Veterans Dependents National Cemetery Interment Records â VA

FR Citation: 40 FR 38095

Number of Respondents: 1,777

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,777	1,777
Annual IC Time Burden (Hours)	296	296
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.