Information Collection

Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)

IC 28538 under ICR 202605-2900-004 · OMB 2900-0321.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21-22 Appointment of Veterans Service Organization as Claimant's Representative Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)	Form and Instruction
Form 21-22a Appointment of Individual as Claimant's Representative Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)	Form
21-22 Appointment of Veterans Service Organization as Claimant VAF21-22 (7-27-26) Updt.pdf www.va.gov/get-help-from-accredited-representative/appoint-rep/introduction/	Form and Instruction
21-22a Appointment of Individual as Claimant's Representative VBA-21-22A-ARE 7-30-26.pdf www.va.gov/vaforms	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)

Agency IC Tracking Number:

2900-0321

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 14.631 38 CFR 1.525

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	21-22			https://www.va.gov/get-help-from-accredited-representative/appoint-rep/introduction/	Yes	Yes	Fillable Fileable Signable
Form	21-22a			www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: 58VA21/22/28 Compensation, Pension, Education, Veterans Readiness and Employment Records

FR Citation: 87 FR 8740

Number of Respondents: 1,046,113

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,046,113	311,109	735,004
Annual IC Time Burden (Hours)	87,176	25,927	61,249
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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