Information Collection

Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery

IC 28470 under ICR 202608-2900-001 · OMB 2900-0222.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA40-1330 Claim for Standard Government Headstone or Marker Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery	Form and Instruction
Form VA40-1330M Claim for Government Medallion For Placement in a Private Cemetery Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery	Form and Instruction
VA40-1330 Claim for Standard Government Headstone or Marker VA40-1330_Upd052126.pdf www.va.gov/vaforms/va/pdf/40-1330.pdf	Form and Instruction
VA40-1330M Claim for Government Medallion For Placement in a Privat VA Form 40-1330M.pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 1.632 38 CFR 38.632

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	VA40-1330			www.va.gov/vaforms/va/pdf/40-1330.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VA40-1330M			www.va.gov/vaforms/va/pdf/40-1330M.pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: 48VA40B Veterans (Deceased) Headstone or Marker Records-VA

FR Citation: 40 FR 38095

Number of Respondents: 183,035

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	183,035	183,035
Annual IC Time Burden (Hours)	45,759	45,759
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].