Information Collection Request

Application for Accreditation as Service Organization Representative

ICR 202604-2900-015 · OMB 2900-0018 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21 (ES) Application for Accreditation as Service Organization Representative Form Modified Available
Form VA Form 21 Application for Accreditation as Service Organization Representative Form Modified Available
30-Day FRN 2900-0018 91 FR 23158 (Apr 29 2026).pdf Supplementary Document Uploaded 2026-04-29 Available
Comment-Response 4.16.2026.docx Supplementary Document Uploaded 2026-04-17 Available
VA-2026-VACO-0001-0115.pdf Public Comments Uploaded 2026-03-30 Available
VA-2026-VACO-0001-0067-A1.pdf Public Comments Uploaded 2026-03-08 Available
VA-2026-VACO-0001-0067.pdf Public Comments Uploaded 2026-03-08 Available
VA-2026-VACO-0001-0037.pdf Public Comments Uploaded 2026-02-12 Available
VA-2026-VACO-0001-0026.pdf Public Comments Uploaded 2026-01-30 Available
60-Day FRN 2900-0018 91 FR 3984 (Jan 29 2026).pdf Supplementary Document Uploaded 2026-04-17 Available
2900-0018 Justification A 04292026.docx Supporting Statement A Uploaded 2026-04-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28110 Application for Accreditation as Service Organization Representative Form ModifiedApplication for Accreditation as Service Organization Representative
28110 Application for Accreditation as Service Organization Representative Form ModifiedApplication for Accreditation as Service Organization Representative
ICR Details
2900-0018 202604-2900-015
Received in OIRA 202211-2900-012
VA 2900-0018
Application for Accreditation as Service Organization Representative
Reinstatement without change of a previously approved collection   No
Regular 04/29/2026
  Requested Previously Approved
36 Months From Approved
4,510 0
1,010 0
0 0

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 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
   US Code: 38 USC 5903 Name of Law: Recognition with respect to particular claims
  
None

Not associated with rulemaking

  91 FR 3984 01/29/2026
91 FR 23158 04/29/2026
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 4,510 0 0 4,510 0 0
Annual Time Burden (Hours) 1,010 0 0 1,010 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
No actual burden increase from prior approval. However, the collection was temporarily discontinued, and now we are requesting reinstatement.

$75,735
No
    Yes
    Yes
No
No
No
No
Jonathan Taylor 202 461-7650 [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.
04/29/2026