Information Collection

Presidential Memorial Certificate (PMC)

IC 28757 under ICR 202305-2900-001 · OMB 2900-0567.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0567 can be found here:

Documents and Forms

Document Name Document Type
Form VA40-0247 Presidential Memorial Certificate (PMC) Form and Instruction
VA40-0247 Presidential Memorial Certificate Request Form VA40-0247 June 9 2023.pdf vaww.va.gov/vaforms/va/pdf/VA40-0247.pdf Form and Instruction
VA40-0247 Presidential Memorial Certificate Request Form VA40-0247 June 9 2023.pdf vaww.va.gov/vaforms/va/pdf/VA40-0247.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Presidential Memorial Certificate (PMC)	Agency IC Tracking Number:	2900-0567

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA40-0247	Presidential Memorial Certificate Request Form	VA40-0247 June 9 2023.pdf	https://vaww.va.gov/vaforms/va/pdf/VA40-0247.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Veterans and Dependents National Cemetery Interment Records, 42VA41A	FR Citation: 85 FR 1990

Number of Respondents: 125,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	125,000	125,000
Annual IC Time Burden (Hours)	6,250	6,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.