Information Collection

Application for Accreditation as a Claims Agent or Attorney, Filing of Representatives' Fee Agreements and Motions for Review of Such Fee Agreements

IC 28847 under ICR 200809-2900-001 · OMB 2900-0605.

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
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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

Federal Enterprise Architecture Business Reference Module


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  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 151 0 14 0 0 137
Annual IC Time Burden (Hours) 131 0 28 0 0 103
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
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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.