Request for Commemorative Plaque or Urn

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA40-1330UP Claim for Commemorative Urn or Plaque For Veterans Cremains	Form and Instruction	Modified	Available
Description of Non-substantive Changes to VA Form 40-1330UP 07 25 2024.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-08-16	Available
OMB Supporting Statement A_Final Rule 40-1330UP 05-11-2024.docx	Supporting Statement A	Uploaded 2024-08-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
263595	Request for Commemorative Plaque or Urn	Form and Instruction	Modified	Claim for Commemorative Urn or Plaque For Veterans Cremains

ICR Details

OMB Control No: 2900-0937	ICR Reference No: 202408-2900-010
Status: Historical Active	Previous ICR Reference No: 202405-2900-007
Agency/Subagency: VA	Agency Tracking No:
Title: Request for Commemorative Plaque or Urn
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 with change	Conclusion Date: 08/16/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/16/2024
Terms of Clearance: At the next renewal, VA will ensure that the form complies with the updated SPD 15 Standard.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	05/31/2027	05/31/2027
Responses	1,684	0	1,684
Time Burden (Hours)	281	0	281
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Veterans Affairs (VA) revised its regulations to implement new statutory authority to furnish commemorative plaques and urns for certain veterans whose cremated remains are not interred. This final rule is necessary to administer the new benefits, which were authorized by the “Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020” (the Act).

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Authorizing Statute(s): PL: Pub.L. 116 - 315 2207 Name of Law: Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AR88	Final or interim final rulemaking	89 FR 40386	05/10/2024

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Federal Register Notices & Comments

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
Request for Commemorative Plaque or Urn	VA40-1330UP	Claim for Commemorative Urn or Plaque For Veterans Cremains

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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	1,684	1,684	0	0	0	0
Annual Time Burden (Hours)	281	281	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: $2,182

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: 08/16/2024

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