OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 2900-0321 · VA.

OMB 2900-0321

VA Forms 21-22 and 21-22a are used to collect the information needed to determine whom claimants have appointed to represent them in the preparation, presentation, and prosecution of claims for VA benefits. The information is also used to determine the extent of representatives’ access to claimants’ records. Without this information VA would be unable to determine whom claimants have appointed to represent them in the prosecution of VA claims, the extent of such representation, and access to appropriate records.

The latest form for Appointment of Veterans Service Organization as Claimant's Representative (VA Form 21-22), Appointment of Individual as Claimant's Representative (VA Forms 21-22a) expires 2026-07-31 and is listed under ICR 202111-2900-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 21-22 Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)Form
2023-13022.pdf Supplementary Document
Comment-Response (Nos. 1,2,3)(VAF21-22 Series)(6-13-23).docx Supplementary Document
2022-26415, 60-Day FRN (2900-0321).pdf Supplementary Document
2900-0321, Supporting Statement (VAF21-22 series).docxSupporting Statement A
Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202111-2900-006 Reinstatement with change of a previously approved collection 2023-06-20 Approved with change
201805-2900-008 Reinstatement with change of a previously approved collection 2018-10-16 Approved without change
201501-2900-011 Revision of a currently approved collection 2015-05-27 Approved with change
201203-2900-015 Extension without change of a currently approved collection 2012-07-05 Approved without change
201202-2900-004 No material or nonsubstantive change to a currently approved collection 2012-02-08 Approved without change
200901-2900-015 Extension without change of a currently approved collection 2009-06-04 Approved without change
200604-2900-009 Extension without change of a currently approved collection 2006-04-26 Approved without change
200307-2900-007 No material or nonsubstantive change to a currently approved collection 2003-07-01 Approved without change
200307-2900-006 No material or nonsubstantive change to a currently approved collection 2003-07-01 Approved without change
200303-2900-005 Extension without change of a currently approved collection 2003-03-25 Approved without change
200004-2900-002 Reinstatement with change of a previously approved collection 2000-04-07 Approved without change
199611-2900-017 Revision of a currently approved collection 1996-11-18 Approved without change
199508-2900-027 Extension without change of a currently approved collection 1995-08-28 Approved without change
199209-2900-003 Extension without change of a currently approved collection 1992-09-17 Approved without change
199001-2900-006 Reinstatement with change of a previously approved collection 1990-01-19 Approved without change
198608-2900-008 Revision of a currently approved collection 1986-08-27 Approved without change
198308-2900-001 Reinstatement with change of a previously approved collection 1983-08-03 Approved without change
198106-2900-012 New collection (Request for a new OMB Control Number) 1981-06-22 Approved without change