Information Collection

Request for Agent Recognition (if applicable)

IC 258837 under ICR 202601-2900-010 · OMB 2900-0252.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 26-8736c-1 Request for Agent Recognition Request for Agent Recognition (if applicable)	Form and Instruction
VA Form 26-8736c-1 Request for Agent Recognition IC - Agent Recognition Request.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-1 (Electronic)				Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	6,000	4,000
Annual IC Time Burden (Hours)	833	501	332
Annual IC Cost Burden (Dollars)	0	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.

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