Information Collection

Request for Commemorative Plaque or Urn

IC 263595 under ICR 202408-2900-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form VA40-1330UP Request for Commemorative Plaque or Urn Form and Instruction
VA40-1330UP Claim for Commemorative Urn or Plaque For Veterans Crema VA Form 40-1330UP July 2024.pdf www.va.gov/vaforms/va/pdf/VA40-1330UP.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Commemorative Plaque or Urn	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	VA40-1330UP	Claim for Commemorative Urn or Plaque For Veterans Cremains	VA Form 40-1330UP July 2024.pdf	https://www.va.gov/vaforms/va/pdf/VA40-1330UP.pdf	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 %

	Approved	Previously Approved
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

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.