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Presidential Memorial Certificate (PMC)
Presidential Memorial Certificate (PMC)
OMB: 2900-0567
IC ID: 28757
OMB.report
VA
OMB 2900-0567
ICR 202305-2900-001
IC 28757
( )
Documents and Forms
Document Name
Document Type
Form VA40-0247
Presidential Memorial Certificate (PMC)
Form and Instruction
VA40-0247 Presidential Memorial Certificate Request Form
VA40-0247 June 9 2023.pdf
vaww.va.gov/vaforms/va/pdf/VA40-0247.pdf
Form and Instruction
VA40-0247 Presidential Memorial Certificate Request Form
VA40-0247 June 9 2023.pdf
vaww.va.gov/vaforms/va/pdf/VA40-0247.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Presidential Memorial Certificate (PMC)
Agency IC Tracking Number:
2900-0567
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA40-0247
Presidential Memorial Certificate Request Form
VA40-0247 June 9 2023.pdf
https://vaww.va.gov/vaforms/va/pdf/VA40-0247.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
Veterans and Dependents National Cemetery Interment Records, 42VA41A
FR Citation:
85 FR 1990
Number of Respondents:
125,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
125,000
0
0
0
0
125,000
Annual IC Time Burden (Hours)
6,250
0
0
0
0
6,250
Annual IC Cost Burden (Dollars)
0
0
0
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.