Application for Accreditation as Service Organization Representative

ICR 201508-2900-002 · OMB 2900-0018 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0018 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form VA21 Application for Accreditation as Service Organization Representative	Form	Modified	Available
2900-0018 SS 8-19-15 (6).doc	Supporting Statement A	Uploaded 2015-09-22	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
28110	Application for Accreditation as Service Organization Representative	Form	Modified

ICR Details

OMB Control No: 2900-0018	ICR Reference No: 201508-2900-002
Status: Historical Active	Previous ICR Reference No: 201204-2900-007
Agency/Subagency: VA	Agency Tracking No: 2900-0018
Title: Application for Accreditation as Service Organization Representative
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/28/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	09/30/2015
Responses	3,157	0	4,780
Time Burden (Hours)	782	0	1,003
Cost Burden (Dollars)	0	0	0

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

Authorizing Statute(s): 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

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 29158	05/20/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 44203	07/24/2015
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Accreditation as Service Organization Representative	VA21	Application for Accreditation As Service Organization Representative

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,157	4,780	-1,623
Annual Time Burden (Hours)	782	1,003	-221
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Since last submission in 2012: There is a burden decrease in hours by 221 (from 1003 to 782). There is an increase for VA Form 21 new applicants by 562 (from 2400 to 2962) There is a reduction in applicant Recertification by 2190 (from 2360 to 170). Accreditation Cancellation requests increased by 5 (from 20 respondents to 25).

Annual Cost to Federal Government: $32,227

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Crystal Rennie 202 632-7492 [email protected]

Common Form ICR: No