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 Forms 21-22 and 21-22a are used to gather information that is necessary to determine whom claimants have appointed to represent them in claims for VA benefits. Without this information, VA would be unable to determine whom has been appointed as the representative, the extent of the representation, and access to appropriate records. VA Forms 21-22 and 21-22a are being revised to include new standardization data points; to include optical character recognition boxes. This is a non-substantive change.

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 2022-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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).docx Supporting 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All Historical Document Collections

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