Information Collection

Request for Commemorative Plaque or Urn

IC 263595 under ICR 202311-2900-007 · OMB 2900-0937.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0937 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 40-1330UP Request for Commemorative Plaque or Urn	Form and Instruction
Form 40-1330UP Claim For Commemorative Urn or Plaque For Veterans Cremains Not Interred Request for Commemorative Plaque or Urn	Form and Instruction
40-1330UP Claim For Commemorative Urn or Plaque For Veterans Crema VA40-1330UP (Draft).pdf	Form and Instruction
40-1330UP Claim For Commemorative Urn or Plaque For Veterans Crema VA40-1330UP (Draft).pdf	Form and Instruction

IC Title:

Request for Commemorative Plaque or Urn

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	40-1330UP				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,684

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,684	1,684
Annual IC Time Burden (Hours)	281	281
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.

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