Application for Fee or Roster Personnel Designation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0113 can be found here:

Documents and Forms

Document Name Document Type
Form 26-6681 Application for Fee or Roster Personnel Designation Form
26-6681 Application for Fee or Roster Personnel Designation 2900-0113 VA Form 26-6681.pdf www.va.gov/vaforms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Fee or Roster Personnel Designation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 36.4301 38 CFR 36.4339

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	26-6681	Application for Fee or Roster Personnel Designation	2900-0113 VA Form 26-6681.pdf	http://www.va.gov/vaforms/	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,200	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	6,200	0	6,200
Annual IC Time Burden (Hours)	3,100	1,033	2,067
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.