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⚠️ Notice: This information collection may be referencing outdated material.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[1].pdf www.va.gov/vaforms Form
AM62 Final (11-21-07).doc Accrediation of Agents and Attorneys; Agent and Attorney Fees IC Document

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 14.633(b) 38 CFR 14.629(a)-(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[1].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 %

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

Documents for IC

Title	Document	Date Uploaded
Accrediation of Agents and Attorneys; Agent and Attorney Fees	AM62 Final (11-21-07).doc	12/13/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.