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Statement of Accredited Representative in Appealed Case
Statement of Accredited Representative in Appealed Case
OMB: 2900-0042
IC ID: 28158
OMB.report
VA
OMB 2900-0042
ICR 201507-2900-003
IC 28158
( )
Documents and Forms
Document Name
Document Type
Form 646
Statement of Accredited Representative in Appealed Case
Form
646 Statement of Accredited Representative Appealed Case
VA Form 646 (Jun 2015).pdf
www.va.gov/vaforms/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement of Accredited Representative in Appealed Case
Agency IC Tracking Number:
2900-0042
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
38 CFR 20.600
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
646
Statement of Accredited Representative Appealed Case
VA Form 646 (Jun 2015).pdf
http://www.va.gov/vaforms/
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50,286
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
50,286
0
5,735
0
0
44,551
Annual IC Time Burden (Hours)
50,286
0
5,735
0
0
44,551
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
