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 202410-2900-018 · 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 Form and Instruction Modified Repair queued
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
2900-0605 Justification A for AR93(F) 10252024.docx Supporting Statement A Uploaded 2024-10-25 Available
2900-0605 Justification A for AR93(F) 10252024.docx Supporting Statement A Uploaded 2024-10-25 Missing upstream
Response to OMB - 2900-0605 clean.docx Supplementary Document Uploaded 2024-10-23 Repair queued
Response to OMB - 2900-0605 clean.docx Supplementary Document Uploaded 2024-10-23 Repair queued

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2028 36 Months From Approved
34,695 0 0
8,297 0 0
633,349 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

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 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) 633,349 0 0 0 633,349 0


Reginfo record details
  No