OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)

ICR 202512-2900-008 · OMB 2900-0736 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 21-0845 Authorization to Disclose Personal Information to a Third Party Form Modified Available
30-Day FRN (published) 2900-0736.pdf Supplementary Document Uploaded 2026-02-26 Repair queued
VA-2025-VACO-0001-0147.pdf Public Comments Uploaded 2026-02-02 Available
60-Day FRN (published) 2900-0736.pdf Supplementary Document Uploaded 2026-02-19 Repair queued
2900-0736, Supporting Statement (VAF21-0845) 1.docx Supporting Statement A Uploaded 2026-02-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
188786 Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form ModifiedAuthorization to Disclose Personal Information to a Third Party
188786 Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form Modified
ICR Details
2900-0736 202512-2900-008
Received in OIRA 202111-2900-010
VA VBA-COMP-KM
Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)
Revision of a currently approved collection   No
Regular 02/26/2026
  Requested Previously Approved
36 Months From Approved 04/30/2026
153,938 113,660
12,828 9,472
0 0
VA Form 21-0845 is used to release information in its custody or control in the following circumstances: where the individual identifies the information and consents to its use; for the purpose for which it was collected, or for a consistent purpose (i.e., a purpose which the individual might have reasonably expected). Without this information, VA cannot share claim information to an individual or organization.
US Code: 38 USC 5701 Name of Law: Confidential nature of claims
   US Code: 5 USC 552a Name of Law: Privacy Act Law
  
None
Not associated with rulemaking
  90 FR 58374 12/16/2025
91 FR 9694 02/26/2026
Yes
  Total Request 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 153,938 113,660 0 40,278 0 0
Annual Time Burden (Hours) 12,828 9,472 0 3,356 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The respondent burden has increased due to the estimated number of receivables averaged over the past year.
$2,006,567
No
    Yes
    Yes
No
No
No
No
Dorothy Glasgow 240 205-5190 [email protected]
  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.
02/26/2026