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 5902
Name of Law: Recognition of representatives of organizations
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 5901
Name of Law: Prohibition against acting as claims agent or attorneyion
VA Form 21, the adjustment is a result of a program requirement for the recertification of accredited representatives and agents every five years. For accreditation cancellation information, the program increase is a result of new regulations requiring service organizations to report the reasons for requesting cancellation of a representative's accreditation.
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.
Form 21 Application for Accreditation as Service Organization Representative
VA Form 21.doc
Application for Accreditation as Service Organization Representative