1) Application For Accreditation As Service Organization Representative, 2) Appointment Of Attorney Or Agent As Claimant's Representative

1) APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE, 2) APPOINTMENT OF ATTORNEY OR AGENT AS CLAIMANT'S REPRESENTATIVE

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0018 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	1) APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE, 2) APPOINTMENT OF ATTORNEY OR AGENT AS CLAIMANT'S REPRESENTATIVE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA 21				No	No
Form	VA 22A				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,600	240	6,360
Annual IC Time Burden (Hours)	1,650	60	1,590
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.