Application for Accreditation as Service Organization 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 21 Application for Accreditation as Service Organization Representative Form
21 Application for Accreditation as Service Organization Re VA21draft6_07.pdf www.va.gov/VAForms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Accreditation as Service Organization Representative	Agency IC Tracking Number:	2900-0018

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 14.633(b) 38 CFR 14.629(a) 38 CFR 14.626

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21	Application for Accreditation as Service Organization Representative	VA21draft6_07.pdf	www.va.gov/VAForms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,780	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,780	20	2,360	2,400
Annual IC Time Burden (Hours)	1,003	10	393	600
Annual IC Cost Burden (Dollars)	0	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.