STATEMENT OF ACCREDITED REPRESENTATIVE IN APPEALED CASE

ICR 198009-2900-002

OMB: 2900-0042

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
146695 Migrated
ICR Details
2900-0042 198009-2900-002
Historical Active 197510-2900-002
VA
STATEMENT OF ACCREDITED REPRESENTATIVE IN APPEALED CASE
Revision of a currently approved collection   No
Regular
Approved without change 12/30/1980
Retrieve Notice of Action (NOA) 09/29/1980
  Inventory as of this Action Requested Previously Approved
10/31/1985 10/31/1985 10/31/1980
28,000 0 25,000
28,000 0 6,250
0 0 0

THE CONSTITUTION AND 38 U.S.C. 4005(A) AFFORD EVERY APPELLANT THE RIGHT TO REPRESENTATION. THE FORM IS JUDICIAL IN NATURE AND A CONVENIENCE TO REPRESENTATIVES IN THE FIELD UPON WHICH THEY CAN WRITE THEIR CONTENTIONS ON BEHALF OF THEIR CLIENTS.

None
None


No

1
IC Title Form No. Form Name
STATEMENT OF ACCREDITED REPRESENTATIVE IN APPEALED CASE 1-646

  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 28,000 25,000 0 414 2,586 0
Annual Time Burden (Hours) 28,000 6,250 0 3,000 18,750 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/29/1980


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