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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2900-0559
ICR Reference No:
201602-2900-002
Status:
Historical Active
Previous ICR Reference No:
201304-2900-016
Agency/Subagency:
VA
Agency Tracking No:
2900-0559
Title:
State Cemetery Data Sheet and Cemetery Grant Documents
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/15/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/28/2016
Terms of Clearance:
VA will include the expiration date on all newly printed forms, but may continue to exhaust its stock of printed forms without the expiration date.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2020
36 Months From Approved
06/30/2017
Responses
286
0
361
Time Burden (Hours)
10,050
0
14,058
Cost Burden (Dollars)
0
0
0
Abstract:
Information is used by the State Cemetery Grants Service to provide data regarding the number of interments conducted at State Veterans cemeteries and support grant applications each year. This data is necessary for budget and oversight purposes.
Authorizing Statute(s):
PL:
Pub.L. 110 - 157 202b
Name of Law: Dr. James Allen Veteran Vision Equity Act of 2007
US Code:
38 USC 501
Name of Law: Rules and regulations
US Code:
38 USC Section 2408
Name of Law: Aid to States for establishing, expanding and improving veterans' cemeteries
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 15986
07/06/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 23240
09/27/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
State Cemetery Data Sheet and Cemetery Grant Documents
VA Form 40-0895-3, VA Form 40-0895-2, VA Form 40-0895-15, VA Form 40-0895-17, VA Form 40-0895-8, VA Form 40-0895-9, VA Form 40-0895-13, VA 40-0895-10, VA Form 40-0895-7, VA 40-0895-16, VA Form 40-0895-12, VA Form 40-0895-6, 40-0241
State Cemetery Data
,
Certification of Compliance
,
State or Tribal Government Cemetery Plan Preparation
,
Certification Regarding Drug-Free Workplace
,
State or Tribal Government Cemetery Documentation of Grant Accomplishments
,
Certification Regarding Lobbying
,
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
,
Certification with Provisions of the Davis-Bacon Act
,
Certification Regarding Documents and Information for State or Tribal Government Cemetery Construction Grants - Post Grant Requirements
,
State or Tribal Government Cemetery Grants Service Space Program Analysis - Buildings
,
Certification of Cemetery Maintained in Accordance with National Cemetery Administration Standards
,
Certification of State or Tribal Government Matching Architectural and Engineering Funds to Qualify for Group 1 on the Priority List
,
Certification Regarding Debarment, Suspension and Other Responsibility Matters Primary Covered Transactions - (State or Tribal Government)
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
286
361
0
0
-75
0
Annual Time Burden (Hours)
10,050
14,058
0
0
-4,008
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The decrease in burden hours is due to the reduction of Cemetery Grants awarded in 2015.
Annual Cost to Federal Government:
$8,179
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
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?
Uncollected
Agency Contact:
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@va.gov
Common Form ICR:
No
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:
09/28/2016
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