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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.