Information Collection

Application for Fee or Roster Personnel Designation

IC 28309 under ICR 201412-2900-022 · OMB 2900-0113.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0113 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 26-6681 Application for Fee or Roster Personnel Designation	Form
VA Form 26-6681 Application for Fee or Roster Personnel Designation VA Form 26-6681 added exp. date (2-2-15).pdf www.va.gov/vaforms	Form

IC Title:

Application for Fee or Roster Personnel Designation

Agency IC Tracking Number:

2900-0113

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 36.4339 38 CFR 36.4301

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	VA Form 26-6681	Application for Fee or Roster Personnel Designation	VA Form 26-6681 added exp. date (2-2-15).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	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.