Information Collection

Request for Agent Recognition (if applicable)

IC 258837 under ICR 202404-2900-012 · OMB 2900-0252.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0252 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 26-8736c Request for Agent Recognition (if applicable)	Form and Instruction
Form VA Form 26-8736c Request for Agent Recognition (if applicable)	Form and Instruction
VA Form 26-8736c Request for Agent Recognition VA Form 26-8736c - NEW (2-23-23).pdf	Form and Instruction
VA Form 26-8736c Request for Agent Recognition VA Form 26-8736c - NEW (2-23-23).pdf	Form and Instruction

IC Title:

Request for Agent Recognition (if applicable)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 and Instruction	VA Form 26-8736c	Request for Agent Recognition	VA Form 26-8736c - NEW (2-23-23).pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	332	332
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.