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

⚠️ Notice: This information collection may be referencing outdated material.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, Filing of Representatives' Fee Agreements and Motions for Review of Such Fee Agreements Form
21A Application for Accreditation as a Claims Agent or Attor 2900-0605 VA Form 21a[1].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, Filing of Representatives' Fee Agreements and Motions for Review of Such Fee Agreements	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 14.626 38 CFR 14.636(g)(3) 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[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: 8,531	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,531	8,380	151
Annual IC Time Burden (Hours)	3,267	3,136	131
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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