Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery

Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery

Documents and Forms

Document Name Document Type
Form VA40-1330 Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery Form and Instruction
VA40-1330 Claim for Standard Government Headstone or Marker VA Form 40-1330 May 2024.pdf www.va.gov/vaforms/va/pdf/40-1330.pdf Form and Instruction
VA40-1330 Claim for Standard Government Headstone or Marker REVISED BASED ON COMMENT_VA Form 40-1330 CLAIM.pdf www.va.gov/vaforms/va/pdf/40-1330.pdf Form and Instruction
VA40-1330M Claim for Government Medallion For Placement in a Privat VA Form 40-1330M 4-16-2024.pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf Form and Instruction
VA40-1330M Claim for Government Medallion For Placement in a Privat VA Form 40-1330M 4-16-2024.pdf www.va.gov/vaforms/va/pdf/40-1330M.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Claim for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 1.632 38 CFR 38.632

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA40-1330	Claim for Standard Government Headstone or Marker	REVISED BASED ON COMMENT_VA Form 40-1330 CLAIM.pdf	www.va.gov/vaforms/va/pdf/40-1330.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VA40-1330M	Claim for Government Medallion For Placement in a Private Cemetery	VA Form 40-1330M 4-16-2024.pdf	www.va.gov/vaforms/va/pdf/40-1330M.pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 48VA40B Veterans (Deceased) Headstone or Marker Records-VA	FR Citation: 40 FR 38095

Number of Respondents: 183,035	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	183,035	16,900	166,135
Annual IC Time Burden (Hours)	45,759	4,225	41,534
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.