Request for Disinterment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0365 can be found here:

Documents and Forms

Document Name Document Type
Form 40-4970 Request for Disinterment Form
40-4970 Request for Disinterment VA40-4970_02-2020.pdf www.va.gov/vaforms/va/pdf/VA40-4970.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Disinterment	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	40-4970	Request for Disinterment	VA40-4970_02-2020.pdf	www.va.gov/vaforms/va/pdf/VA40-4970.pdf	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 42VA41, Veterans Dependents National Cemetery Interment Records – VA	FR Citation: 40 FR 38095

Number of Respondents: 1,777	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,777	671	1,106
Annual IC Time Burden (Hours)	296	111	185
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.