Information Collection

Request for Disinterment

IC 28570 under ICR 201603-2900-023 · OMB 2900-0365.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0365 can be found here:

Documents and Forms

Document Name Document Type
Form 40-4970 Request for Disinterment Form
40-4970 Request for Disinterment VA40-4970.pdf www.va.gov/vaforms/va/pdf/VA40-4970.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Disinterment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	40-4970	Request for Disinterment	VA40-4970.pdf	www.va.gov/vaforms/va/pdf/VA40-4970.pdf	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,106	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,106	1,106
Annual IC Time Burden (Hours)	185	185
Annual IC Cost Burden (Dollars)	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.