View Information Collection Request (ICR) Package
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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:
2900-0222
ICR Reference No:
201112-2900-006
Status:
Historical Active
Previous ICR Reference No:
201003-2900-012
Agency/Subagency:
VA
Agency Tracking No:
2900-0222
Title:
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/21/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/14/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2013
12/31/2013
12/31/2013
Responses
374,000
0
374,000
Time Burden (Hours)
93,500
0
93,500
Cost Burden (Dollars)
0
0
0
Abstract:
Information is used to apply for a government provided headstone/marker for unmarked graves of eligible veterans and dependents.
Authorizing Statute(s):
PL:
Pub.L. 107 - 103 501 and 502
Name of Law: Government Markers for Marked Graves at Private Cemeteries
US Code:
38 USC Section 2306
Name of Law: Headstones, markers, and burial receptacles
PL:
Pub.L. 110 - 157 201
Name of Law: . James Allen Veteran Vision Equity Act of 2007
Citations for New Statutory Requirements:
PL: Pub.L. 110 - 157 201 Name of Law: Blinded Veterans Paired Organs Act of 2007
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:
75 FR 59
03/29/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 109
06/08/2010
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
Application for Standard Government Headstone or Marker for Installation in Private or State Veterans Cemetery
VA Form 40-1330M, 40-1330
Application for Standard Headstone or Marker for Installation in a Private or State Veterans' Cemetery
,
Claim for government Medallion for Installation in a Private Cemetery
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
374,000
374,000
0
0
0
0
Annual Time Burden (Hours)
93,500
93,500
0
0
0
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:
No
Burden Reduction Due to:
Short Statement:
The program change is due the inclusion of VA Form 40-1330m. On December 26, 2007, the President signed the Blinded Veterans Paired Organs Act of 2007. Section 201 of Public Law 110-157 mandates the VA to provide a Government medallion to be affixed to the privately purchased headstone or a marker of a deceased eligible veteran buried in a private cemetery, which is in lieu of a Government-furnished headstone or marker
Annual Cost to Federal Government:
$38,823,000
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:
Denise McLamb 202-565-8374 denise.mclamb@mail.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:
12/14/2011
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