Information Collection Request
Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)
ICR 202111-2900-010 · OMB 2900-0736 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0736 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 21-0845 Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) |
Form | Modified | Repair queued |
 30-Day FRN - 2900-0736 (2023).pdf |
Supplementary Document | Uploaded 2023-01-20 | Missing upstream |
| 2022-24462, 60-Day FRN (VAF21-0845).pdf |
Supplementary Document | Uploaded 2023-01-12 | Repair queued |
 2900-0736, Supporting Statement (VAF21-0845).docx |
Supporting Statement A | Uploaded 2023-01-12 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 188786 |  Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0736 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 201903-2900-015 |
| Agency Tracking No | VBA-COMP-YA |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |