Information Collection Request

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

ICR 201710-2900-006 · OMB 2900-0605 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VA21a Application for Accreditation as a Claims Agent or Attorney, Filing of Representatives' Fee Agreements and Motions for Review of Such Fee Agreements Form and Instruction Modified Available
60-Day FedRegNotice 2900-0605 Published 07-25-2019.pdf Supplementary Document Uploaded 2019-11-18 Available
30-Day FedRegNotice 2900-0605 Published 10-21-2019.pdf Supplementary Document Uploaded 2019-11-18 Available
2900-0605 Justification A (Rev2017) (final) 09252019.docx Supporting Statement A Uploaded 2019-11-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
28847 Application for Accreditation as a Claims Agent or Attorney, Filing of Representatives' Fee Agreements and Motions for Review of Such Fee Agreements Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2022 36 Months From Approved
21,560 0 0
5,683 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 21,560 0 0 18,910 0 2,650
Annual Time Burden (Hours) 5,683 0 0 1,153 0 4,530
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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