Information Collection

Application for Accreditation as a Claims Agent or Attorney

IC 28847 under ICR 200704-2900-007 · OMB 2900-0605.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.