Verification of Eligibility for Burial in a National Cemetery

Forms and Documents

Document Name	Status
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery Form	Modified
Form VA-40-4962 Verification of Eligibility for Burial in a National Cemetery Form	Modified
OMB 2900-0232 PRA Statement_Final Rule_ 7-31-2023.docx Supporting Statement A	2023-08-03
OMB 2900-0232 PRA Statement_Final Rule_ 7-31-2023.docx Supporting Statement A	2023-08-03
Description of Changes to VA Form 40-4962 (OMB #2900-0232) 8172022.docx Justification for No Material/Nonsubstantive Change	2022-08-19
Description of Changes to VA Form 40-4962 (OMB #2900-0232) 8172022.docx Justification for No Material/Nonsubstantive Change	2022-08-19

IC Document Collections

IC ID	Document Title	Status
28474	Verification of Eligibility for Burial in a National Cemetery Form	Modified
28474	Verification of Eligibility for Burial in a National Cemetery Form	Modified

ICR Details

OMB Control No: 2900-0232	ICR Reference No: 202308-2900-002
Status: Active	Previous ICR Reference No: 202302-2900-002
Agency/Subagency: VA	Agency Tracking No:
Title: Verification of Eligibility for Burial in a National Cemetery
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/09/2023
	Date Received in OIRA: 08/03/2023
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	36 Months From Approved	11/30/2023
Responses	150,000	0	135,000
Time Burden (Hours)	37,500	0	33,750
Cost Burden (Dollars)	0	0	0

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Abstract: VA requires applicants for national cemetery burial to provide information to verify eligibility for burial in a national cemetery, to schedule interment and to provide services requested by the decedent’s family or personal representative. This information is also used for planning and scheduling cemetery services and to provide for specific requests from family members or the personal representative.

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Authorizing Statute(s): US Code: 38 USC 2402
   PL: Pub.L. 103 - 446 509 Name of Law: Center for Minority Veterans and Center for Women Veterans
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AR80	Final or interim final rulemaking	88 FR 51236	08/03/2023

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Verification of Eligibility for Burial in a National Cemetery	VA-40-4962, V40-4962	Verification of Eligibility for Burial in a National Cemetery ,   Verification of Eligibility for Burial in a National Cemetery

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ICR Summary of Burden

	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	150,000	135,000	0	15,000	0	0
Annual Time Burden (Hours)	37,500	33,750	0	3,750	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: VA updated the annual cost to respondents and to the Federal Government based on more recent data regarding the total number of respondents per year. The revision to information collection described in both the proposed and final rules is based on the need to collect additional types of information, noted in changes to section VII of VA form 40-4962, from a small group of respondents (approximately 85 respondents). However, there is still a population of respondents who provide information required in the other sections, and VA has updated the total number of respondents based on the average of the past two years. VA would like to clarify that this does not change the estimated time required to provide the information requested from respondents, nor does it change the estimated workload for federal employees. It is just a different type of documentary evidence that needs to be provided.

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Annual Cost to Federal Government: $2,844,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/03/2023

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