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 202312-2900-008 · OMB 2900-0605 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Response to OMB - 2900-0605 clean.docx Supplementary Document Uploaded 2023-12-20 Available
2900-0605 SSA 2023-12-20.docx Supporting Statement A Uploaded 2023-12-20 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
  Requested Previously Approved
36 Months From Approved
34,695 0
8,297 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for Accreditation as a Claims Agent or Attorney, Filing of Representatives' Fee Agreements and Motions for Review of Such Fee Agreements VA21a Application for Accreditation as a Claim Agent or Attorney

table that charts list of burden
  Total Request 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 34,695 0 0 0 13,135 21,560
Annual Time Burden (Hours) 8,297 0 0 0 2,614 5,683
Annual Cost Burden (Dollars) 0 0 0 -588,529 588,529 0


Reginfo record details
  No