Application for Accreditation as a Claims Agent or Attorney

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0605 can be found here:

Documents and Forms

Document Name Document Type
Form 21A Application for Accreditation as a Claims Agent or Attorney Form
21A Application for Accreditation as a Claims Agent or Attor 2900-0605 VA Form 21a.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Accreditation as a Claims Agent or Attorney	Agency IC Tracking Number:	2900-0605

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 14.629(a)-(b) 38 CFR 14.633(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21A	Application for Accreditation as a Claims Agent or Attorney	2900-0605 VA Form 21a.pdf	www.va.gov/vaforms	No		Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 137	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	137	0	117	20
Annual IC Time Burden (Hours)	103	88	0	15
Annual IC Cost Burden (Dollars)	0	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.