The Department of Veterans Affairs (VA), through its Veterans Benefits Administration (VBA), administers an integrated program of benefits and services, established by law, for veterans, service personnel, and their dependents and/or beneficiaries.
Information is requested by this form under the authority of 38 U.S.C. §§ 2302 and 2303.
VA Form 21P-530A is used to gather the information required to determine whether a State is eligible for interment allowances for eligible Veterans who have been buried in a State Veterans’ cemetery. Without this information, VBA would be unable to properly determine eligibility and pay benefits due to a State.
The collection of information does not involve the use of automated, electronic, mechanical, or other technological collection techniques. VA does not currently have technology in place to allow for the electronic submission of this form, though VA may develop this technology in the future.
The form is available in electronically-fillable format on the benefits.va.gov website. However, the form must be printed and physically submitted.
VBA conducted program reviews to identify duplication and found none. There is no known Department or Agency which maintains the necessary information, nor is the information available through other sources within VA.
The collection of information does not impact small business or other small entities.
If this collection is not conducted, VBA will not be able to adequately evaluate State’s claims for interment allowance under 38 U.S.C. Chapter 23. The information is collected on an ad hoc basis and cannot be collected less frequently.
VBA has attempted to minimize the burden of this collection by collecting the minimum information required to make decision on the State’s claim for benefits. We estimate the time burden per response to be five minutes, and we do not believe is feasible to further reduce the time burden per response.
There are no special circumstances which would cause this information collection to be conducted more often than quarterly, or require respondents to prepare written responses to a collection of information in fewer than 30 days after receipt of it; submit more than an original and two copies of any document; retain records, other than health, medical, government contract, grant-in-aid, or tax records for more than three years; in connection with a statistical survey that is not designed to produce valid and reliable results that can be generalized to the universe of study and require the use of a statistical data classification that has not been reviewed and approved by OMB.
The Department notice was published in the Federal Register on July 1, 2019, Vol. 84, No. 126, page 31390. No comments were received in response to this notice.
No payments or gifts to respondents will be made under this collection of information.
The records are maintained in the appropriate Privacy Act System of Records identified as “Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28),” published at 77 FR 42593 (July 19, 2012).
There are no questions of a sensitive nature (information that, with a reasonable degree of medical certainty, is likely to have a serious adverse effect on an individual's mental or physical health if revealed to him or her), such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private.
VA will not disclose the information collected to any source other than what has been authorized under the Privacy Act of 1974 or Title 5, Code of Federal Regulations 1.526 for routine uses (i.e., civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA programs and delivery of VA benefits, verification of identity and status and personnel administration) as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA, published at 77 FR 42593 (July 19, 2012).
The respondent is required to provide the Veteran’s Social Security number when requested under 38 U.S.C. 5101 (c)(1). VA May disclose Social Security numbers as authorized under the Privacy Act, and specifically may disclose them for the purposes stated above. Information furnished on the information collection may be utilized in computer matching programs with other Federal or state agencies for the purpose of determining the respondent’s eligibility to receive VA benefits, as well as to collect any amount owed to the United States by virtue of the respondent’s participation in any benefit program administered by the Department of Veterans Affairs.
Number of Respondents: 46,500
Frequency of Response: one time
Annual Burden Hours: 3,875 hours
Estimated Completion Time: 0.08333 hours (5 minutes)
The
population of respondents includes working age adults who are
employees of State agencies and departments responsible for
administering State Veterans’ cemeteries, including
determining eligibility for burial in State Veteran’s
cemeteries. To estimate the cost to the respondent, VBA used
occupational employment and wages from May 2018 for occupation code
43-4061 Eligibility Interviewers, Government Programs. The job
description for this occupation code is: “determine
eligibility of persons applying to receive assistance from
government programs and agency resources, such as welfare,
unemployment benefits, social security, and public housing”.
The
Bureau of Labor Statistics (BLS) gathers information on full-time
wage and salary workers. According to the latest available BLS
data for occupation code 43-4061, the median hourly wage is $22.12.
This information was retrieved from the following website:
(https://www.bls.gov/oes/current/oes434061.htm,
May 2018).
To account for overhead costs and benefits, we
factored in additional costs of 100% of employee salary. This is
necessarily a rough adjustment, because methods of estimating these
costs vary widely from study to study. One such study, from the
Boston Business Journal
(http://web.mit.edu/e-club/hadzima/pdf/how-much-does-an-employee-cost.pdf),
references an estimate of overhead costs and benefits as high of
170% of employee salary. Since there is no industry standard for
estimating overhead costs and benefits costs based on employee
salary, we feel our estimate of 100% of employee salary is
reasonable.
VBA estimates the total cost of all
respondents to be $171,430.00 (3,875 burden hours x $22.12 per hour
+ 100% overhead).
Median Hourly Wage = $22.12/hr.
Burden
Hours per Response = 0.08333 hrs.
Cost per Response =
$22.12/hr. x 0.08333 hrs. = $1.84333
Burden Estimate =
$1.84333/Response x 46,500 Responses = $85,715.00
Burden
Estimate with 100% overhead included = $171,430.00
Total Cost
Per Response with 100% overhead included =
$171,430.00 / 46,500 Responses = $3.68666
The submission does not involve any record-keeping costs.
Estimated Costs to the Federal Government:
Grade |
Step |
Burden Time |
Fraction of Hour |
Hourly Rate |
Cost Per Response |
Total Responses |
Total |
5 |
3 |
5 Min. |
0.08333 |
$15.00 |
$1.250000 |
46,500 |
$58,125.00 |
Overhead at 100% Salary |
$58,125.00 |
||||||
9 |
3 |
30 Min. |
0.50000 |
$22.73 |
$11.365000 |
46,500 |
$528,472.50 |
|
$528,472.50 |
||||||
11 |
3 |
5 Min. |
0.08333 |
$27.50 |
$2.291667 |
46,500 |
$106,562.50 |
Overhead at 100% Salary |
$106,562.50 |
||||||
|
|
||||||
Processing / Analyzing Costs |
$1,386,320.00 |
||||||
Printing and Production Cost ($590/thousand) |
$0.00 |
||||||
Total Cost to Government |
$1,386,320.00 |
Overhead costs are 100% of salary and are same as the wage listed above and the amounts are included in the total.
Note: The hourly wage information above is based on the hourly 2019 General Schedule (Base) Pay (https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2019/GS_h.pdf). This rate does not include any locality adjustment.
The processing time estimates above are based on the actual amount of time employees of each grade level spend to process to completion a claim received on this form. The within-grade step (3) of each employee represents the average experience of employees within each grade.
To account for overhead costs and benefits, we factored in additional costs of 100% of employee salary. This is necessarily a rough adjustment, because methods of estimating these costs vary widely from study to study. One such study, from the Boston Business Journal (http://web.mit.edu/e-club/hadzima/pdf/how-much-does-an-employee-cost.pdf), references an estimate of overhead costs and benefits as high of 170% of employee salary. Since there is no industry standard for estimating overhead costs and benefits costs based on employee salary, we feel our estimate of 100% of employee salary is reasonable.
VBA revised the form to collect information for a single Veteran. Previously, the information of up to fifteen Veterans could have been collected. This change is being implemented to improve claims processing efficiency, to better protect Veterans’ Personally Identifiable Information, and to improve VBA’s ability to account for payments made to State Veterans’ cemeteries.
This change caused the following:
First, the estimated completion time per response was reduced to five minutes from thirty minutes.
Second, the number of annual responses increased from 3,100 to 46,500.
The combined effect is a change in requested burden hours from to 3,875 from 1,550.
The information collected is not for tabulation.
We are not seeking to omit the expiration date.
This submission does not include any exceptions to the certification statement.
No statistical methods are used in this data collection.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | SUPPORTING STATEMENT FOR VA FORM 10-2065, FUNERAL ARRANGEMENTS; VA FORM 10-10, APPLICATION FOR MEDICAL BENEFITS; VA FORM 10-10I, |
Author | Preferred Customer |
File Modified | 0000-00-00 |
File Created | 2021-01-15 |