OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

(1) Application for Accrediation as Service Organization Representative (2) Appointment of Individual as Claimant's Representative

ICR 200307-2900-008 · OMB 2900-0018 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
42176 (1) Application for Accrediation as Service Organization Representative (2) Appointment of Individual as Claimant's Representative Form Migrated
ICR Details
2900-0018 200307-2900-008
Historical Active 200304-2900-003
VA
(1) Application for Accrediation as Service Organization Representative (2) Appointment of Individual as Claimant's Representative
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/01/2003
Retrieve Notice of Action (NOA) 07/01/2003
  Inventory as of this Action Requested Previously Approved
06/30/2006 06/30/2006 05/31/2006
2,400 0 8,800
600 0 2,200
0 0 0
Application for accreditation - representatives of services organizations use this form to apply for VA accreditation to represent claimants for benefits before VA; Appointment of Individual - claimants for VA benefits use this form to confer power of attorney on attorney, agent or individual service organization representative for claim representation purposes.
None
None
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 2,400 8,800 0 0 -6,400 0
Annual Time Burden (Hours) 600 2,200 0 0 -1,600 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
07/01/2003