Grant Funded Cemetery Data Sheet and Cemetery Grant Documents

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA 40-0895-6 Certification of State or Tribal Government Matching Architectural and Engineering Funds to Qualify for Group 1 on the Priority List	Form	Modified	Repair queued
Form VA 40-0241 Grant Funded Cemetery Data	Form and Instruction	Modified	Repair queued
Form VA 40-0895-15 Cemetery Maintained in Accordance with National Cemetery Administration Standards	Form	Modified	Repair queued
Form VA 40-0895-14 Major Requirements for State or Tribal Government Cemetery Construction Grants	Form	Modified	Repair queued
Form VA 40-0895-13 Documents and Information Required for State or Tribal Cemetery Construction Grants – Post Grant Requirements	Form	Modified	Repair queued
Form VA 40-0895-12 Debarment, Suspension, Ineligibility and Voluntary Exclusion – Primary Covered Transactions (Contractor)	Form	Modified	Repair queued
Form VA 40-0895-10 Compliance with Federal Requirements – State or Tribal Government Construction Grant	Form	Modified	Repair queued
Form VA 40-0895-9 Lobbying	Form	Modified	Repair queued
Form VA 40-0895-8 Drug-Free Workplace Requirements for Grantees Other Than Individuals	Form	Modified	Repair queued
Form VA 40-0895-7 Debarment, Suspension, Ineligibility and Voluntary Exclusion – Primary Covered Transactions (State or Tribal Governments)	Form	Modified	Repair queued
Form VA 40-0895-3 State or Tribal Government Cemetery Grants Service Space Program Analysis – Buildings	Form	Modified	Repair queued
Form VA 40-0895-2 Compliance with Provisions of the Davis-Bacon Act	Form	Modified	Repair queued
Form VA 40-0895-2 Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Repair queued
2900-0559 Supporting Statement A 09 07 2023.docx	Supporting Statement A	Uploaded 2023-09-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Certification of State or Tribal Government Matching Architectural and Engineering Funds to Qualify for Group 1 on the Priority List
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form and Instruction	Modified	Grant Funded Cemetery Data
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Cemetery Maintained in Accordance with National Cemetery Administration Standards
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Major Requirements for State or Tribal Government Cemetery Construction Grants
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Documents and Information Required for State or Tribal Cemetery Construction Grants – Post Grant Requirements
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Debarment, Suspension, Ineligibility and Voluntary Exclusion – Primary Covered Transactions (Contractor)
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Compliance with Federal Requirements – State or Tribal Government Construction Grant
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Lobbying
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Drug-Free Workplace Requirements for Grantees Other Than Individuals
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Debarment, Suspension, Ineligibility and Voluntary Exclusion – Primary Covered Transactions (State or Tribal Governments)
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	State or Tribal Government Cemetery Grants Service Space Program Analysis – Buildings
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified	Compliance with Provisions of the Davis-Bacon Act
28741	Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	Form	Modified

ICR Details

OMB Control No: 2900-0559	ICR Reference No: 202212-2900-004
Status: Active	Previous ICR Reference No: 201911-2900-008
Agency/Subagency: VA	Agency Tracking No: 2900-0559
Title: Grant Funded Cemetery Data Sheet and Cemetery Grant Documents
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/16/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/14/2023
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	36 Months From Approved	11/30/2023
Responses	292	0	286
Time Burden (Hours)	296	0	610
Cost Burden (Dollars)	0	0	0

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Abstract: Information is used by the Veterans Cemetery Grants Program to provide data regarding the number of interments conducted at State Veterans cemeteries and support grant applications each year. This data is necessary for budget and oversight purposes.

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Authorizing Statute(s): US Code: 38 USC 501 Name of Law: Rules and regulations
   US Code: 38 USC Section 2408 Name of Law: Aid to States for establishing, expanding and improving veterans' cemeteries
  

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:
	88 FR 43423	07/07/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 62896	09/13/2023
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
Grant Funded Cemetery Data Sheet and Cemetery Grant Documents	VA 40-0895-7, VA 40-0895-8, VA 40-0895-10, VA 40-0895-12, VA 40-0895-13, VA 40-0895-14, VA 40-0895-15, VA 40-0241, VA 40-0895-6, VA 40-0895-9, VA 40-0895-2, VA 40-0895-3	Compliance with Provisions of the Davis-Bacon Act ,   State or Tribal Government Cemetery Grants Service Space Program Analysis – Buildings ,   Debarment, Suspension, Ineligibility and Voluntary Exclusion – Primary Covered Transactions (State or Tribal Governments) ,   Drug-Free Workplace Requirements for Grantees Other Than Individuals ,   Lobbying ,   Compliance with Federal Requirements – State or Tribal Government Construction Grant ,   Debarment, Suspension, Ineligibility and Voluntary Exclusion – Primary Covered Transactions (Contractor) ,   Documents and Information Required for State or Tribal Cemetery Construction Grants – Post Grant Requirements ,   Major Requirements for State or Tribal Government Cemetery Construction Grants ,   Cemetery Maintained in Accordance with National Cemetery Administration Standards ,   Grant Funded Cemetery Data ,   Certification of State or Tribal Government Matching Architectural and Engineering Funds to Qualify for Group 1 on the Priority List

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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	292	286	0	6	0	0
Annual Time Burden (Hours)	296	610	0	-314	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden hours decreased due to three forms no longer being used.

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Annual Cost to Federal Government: $17,010

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.     No

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.     No

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: 09/14/2023

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