Request for Disinterment

ICR 201603-2900-023

OMB: 2900-0365

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2017-04-25
IC Document Collections
IC ID
Document
Title
Status
28570 Modified
ICR Details
2900-0365 201603-2900-023
Historical Active 201304-2900-021
VA 2900-0365
Request for Disinterment
Extension without change of a currently approved collection   No
Regular
Approved with change 04/26/2017
Retrieve Notice of Action (NOA) 12/14/2016
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 04/30/2017
1,106 0 1,106
185 0 185
0 0 0

Information is used to determine if requester is entitled to disinter a loved one from or within a national cemetery. Next-of-kin are generally initiators of disinterment requests.

US Code: 38 USC Section 2404 Name of Law: National Cemeteries and Memorials Administration
  
None

Not associated with rulemaking

  81 FR 69575 10/06/2016
81 FR 89575 12/12/2016
No

1
IC Title Form No. Form Name
Request for Disinterment 40-4970 Request for Disinterment

  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 1,106 1,106 0 0 0 0
Annual Time Burden (Hours) 185 185 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$16,479
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@va.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/14/2016


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