Application of Service Representaive for Placement on Mailing List, Request for & Consent to Release of Infor. from Claimant's Records, Requests to Correspondent for Identifying Infor., 38 CFR

Application of Service Representative for Placement on Mailing List, Request for & Consent to Release of Info from Claimant's Records, Requests to Correspondent for Identifying Info, 38 CFR 1.519(A)

Documents and Forms

Document Name Document Type
Form 3288 Application of Service Representaive for Placement on Mailing List, Request for & Consent to Release of Infor. from Claimant's Records, Requests to Correspondent for Identifying Infor., 38 CFR Form
3288 Request for Consent to Release of Information from Indiv VA3288.pdf www.va.gov/vaforms Form
FL70-2 FL70-2 FL70-2.pdf www.va.gov/vaforms Form
3215 Application of Service Representative for Placement on M VA3215.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application of Service Representaive for Placement on Mailing List, Request for & Consent to Release of Infor. from Claimant's Records, Requests to Correspondent for Identifying Infor., 38 CFR	Agency IC Tracking Number:	2900-0028

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 1.576(b) 38 CFR 1.526(a) 38 CFR 1.519(A)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Electronic Capability
Form	3288	Request for Consent to Release of Information from Individual's Records	VA3288.pdf	http://www.va.gov/vaforms	No	Paper Only
Form	FL70-2	FL70-2	FL70-2.pdf	http://www.va.gov/vaforms	No	Paper Only
Form	3215	Application of Service Representative for Placement on Mailing List	VA3215.pdf	http://www.va.gov/vaforms	No	Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 196,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	196,200	196,200
Annual IC Time Burden (Hours)	22,700	22,700
Annual IC Cost Burden (Dollars)	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.