Information Collection

Verification of Eligibility for Burial in a National Cemetery

IC 28474 under ICR 202603-2900-012 · OMB 2900-0232.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA40-4962 Verification of Eligibility for Burial in a National Cemetery Verification of Eligibility for Burial in a National Cemetery	Form
VA40-4962 Verification of Eligibility for Burial in a National Cem VA Form 40-4962 July 6 2026.pdf	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA40-4962			TBD	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: 42VA41, âVeterans and Dependents National Cemetery Interment Records-VA

FR Citation: 40 FR 38095

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	37,500	37,500
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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