Verification of Eligibility for Burial in a National Cemetery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA40-4962 Verification of Eligibility for Burial in a National Cemetery	Form	Modified	Available
2026-13953 30 Day FRN.pdf	Supplementary Document	Uploaded 2026-07-10	Available
2026-06452 Verification of Eligibility for Burial 2900-0232 60-day published FRN.pdf	Supplementary Document	Uploaded 2026-06-15	Available
Supporting Statement Part A_2900-0232 7-10-2026.docx	Supporting Statement A	Uploaded 2026-07-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28474	Verification of Eligibility for Burial in a National Cemetery	Form	Modified	Verification of Eligibility for Burial in a National Cemetery

ICR Details

OMB Control No: 2900-0232	ICR Reference No: 202603-2900-012
Status: Received in OIRA	Previous ICR Reference No: 202504-2900-015
Agency/Subagency: VA	Agency Tracking No:
Title: Verification of Eligibility for Burial in a National Cemetery
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/10/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	150,000	150,000
Time Burden (Hours)	37,500	37,500
Cost Burden (Dollars)	0	0

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Abstract: VA requires applicants for national cemetery burial to provide information to verify eligibility for burial in a national cemetery, to schedule interment and to provide services requested by the decedent’s family or personal representative. This information is also used for planning and scheduling cemetery services and to provide for specific requests from family members or the personal representative.

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Authorizing Statute(s): PL: Pub.L. 103 - 446 509 Name of Law: Center for Minority Veterans and Center for Women Veterans
   US Code: 38 USC 2402
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 16811	04/02/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 42790	07/10/2026
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
Verification of Eligibility for Burial in a National Cemetery	VA40-4962	Verification of Eligibility for Burial in a National Cemetery

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	150,000	150,000	0	0	0	0
Annual Time Burden (Hours)	37,500	37,500	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: $1,412,250

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: 07/10/2026

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