Information Collection

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

IC 28847 under ICR 202312-2900-008 · OMB 2900-0605.

⚠️ Notice: This information collection may be referencing outdated material.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
VA21a Application for Accreditation as a Claim Agent or Attorn VA21a (DRAFT 20231016).pdf www.va.gov/vaforms Form and Instruction

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 14.633(b) 38 CFR 14.636(g)(3), (i) 38 CFR 14.626 38 CFR 14.629(a)-(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA21a	Application for Accreditation as a Claim Agent or Attorney	VA21a (DRAFT 20231016).pdf	www.va.gov/vaforms	No		Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: as Compensation, Pension, Education and Vocational Rehabilitation and Employment RecordsâVA, 58VA21/22/28; Veterans Appellate Records SystemâVA, 44VA01; and Accreditation RecordsâVA, 01VA022	FR Citation: 86 FR 61858

Number of Respondents: 34,695	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	34,695	0	13,135	21,560
Annual IC Time Burden (Hours)	8,297	0	2,614	5,683
Annual IC Cost Burden (Dollars)	0	-588,529	588,529	0

Documents for IC

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