Verification of Eligibility for Burial in a National Cemetery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0232 can be found here:

Documents and Forms

Document Name Document Type
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery Form
VA-40-4962 Verification of Eligibility for Burial in a National Cem Form VA40-4962 Final_042920.pdf Form
VA-40-4962 Verification of Eligibility for Burial in a National Cem VA40-4962(draft).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Verification of Eligibility for Burial in a National Cemetery	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	VA-40-4962	Verification of Eligibility for Burial in a National Cemetery	Form VA40-4962 Final_042920.pdf	TBD	Yes	Yes	Fillable Fileable
Form	VA-40-4962	Verification of Eligibility for Burial in a National Cemetery	VA40-4962(draft).pdf	TBD	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

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

Number of Respondents: 135,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	135,000	135,000
Annual IC Time Burden (Hours)	33,750	33,750
Annual IC Cost Burden (Dollars)	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.