Application for Accreditation as Service Organization Representative

ICR 201910-2900-005

OMB: 2900-0018

Federal Form Document

IC Document Collections
ICR Details
2900-0018 201910-2900-005
Active 201508-2900-002
VA 2900-0018
Application for Accreditation as Service Organization Representative
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 02/11/2020
Retrieve Notice of Action (NOA) 11/21/2019
  Inventory as of this Action Requested Previously Approved
02/28/2023 36 Months From Approved
4,713 0 0
1,013 0 0
0 0 0

Application For Accreditation - representatives of service organizations use this form to apply for VA accreditation to represent claimants for benefits before VA.

US Code: 38 USC 5903 Name of Law: Recognition with respect to particular claims
   US Code: 38 USC 5904 Name of Law: Recognition of agents and attorneys generally
   US Code: 38 USC 5902 Name of Law: Recognition of representatives of organizations
   US Code: 38 USC 5901 Name of Law: Prohibition against acting as claims agent or attorneyion
  
None

Not associated with rulemaking

  84 FR 35929 07/25/2019
84 FR 56284 10/21/2019
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,713 0 0 1,556 0 3,157
Annual Time Burden (Hours) 1,013 0 0 231 0 782
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The adjustment is a program adjustment due to change in estimate number of filings.

$41,383
No
    Yes
    Yes
No
No
No
Uncollected
Jonathan Taylor 202 461-7650 jonathan.taylor2@va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/21/2019


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