Presidential Memorial Certificate (PMC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA40-0247 Presidential Memorial Certificate (PMC)	Form and Instruction	Modified	Available
Description of Changes to VA Form 40-0247 (OMB Number 2900-0567) 8-17-2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-08-19	Available
30-Day FRN 2900-0567.pdf	Supplementary Document	Uploaded 2020-07-30	Available
60-Day 2900-0567.pdf	Supplementary Document	Uploaded 2020-07-30	Available
OMB Justification 2900-0567 051920 Final.docx	Supporting Statement A	Uploaded 2020-07-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28757	Presidential Memorial Certificate (PMC)	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0567	ICR Reference No: 202208-2900-010
Status: Active	Previous ICR Reference No: 202003-2900-012
Agency/Subagency: VA	Agency Tracking No: 2900-0567
Title: Presidential Memorial Certificate (PMC)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/24/2022
	Date Received in OIRA: 08/24/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	09/30/2023	09/30/2023
Responses	125,000	0	125,000
Time Burden (Hours)	6,250	0	6,250
Cost Burden (Dollars)	0	0	0

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Abstract: Information is used to provide additional certificates requested by respondent. A respondent is an eligible recipient that includes the next-of-kin, other relatives or friends that request additional certificates and/or replacement certificates.

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Authorizing Statute(s): US Code: 38 USC Section 2411 Name of Law: The Dignified Burial and Other Veterans' Benefits Improvement Act of 2012
   US Code: 38 USC Section 112 Name of Law: Presidential memorial certificate program
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 30023	05/19/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 45739	07/29/2020
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Presidential Memorial Certificate (PMC)	VA40-0247, VA40-0247	Presidential Memorial Certificate Request Form ,   Presidential Memorial Certificate Request Form

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ICR Summary of Burden

table that charts list 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	125,000	125,000	0	0	0	0
Annual Time Burden (Hours)	6,250	6,250	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $148,051

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? No

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Common Form ICR:  No

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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: 08/24/2022

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