OMB control number

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

OMB 2900-0736 · VA.

OMB 2900-0736

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.

The latest form for Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) expires 2029-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21-0845 Authorization to Disclose Personal Information to a Third Party Form
30-Day FRN (published) 2900-0736.pdf Supplementary Document
VA-2025-VACO-0001-0147.pdf Public Comments
60-Day FRN (published) 2900-0736.pdf Supplementary Document
2900-0736, Supporting Statement (VAF21-0845) 1.docx Supporting Statement A
Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form
Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form

All Historical Document Collections

202512-2900-008	Revision of a currently approved collection	2026-02-26
202111-2900-010 Approved without change	Reinstatement with change of a previously approved collection	2023-01-20
201903-2900-015 Approved without change	Extension without change of a currently approved collection	2019-09-12
201602-2900-037 Approved without change	Revision of a currently approved collection	2016-06-23
201301-2900-003 Approved with change	Extension without change of a currently approved collection	2013-06-26
200909-2900-012 Approved without change	Extension without change of a currently approved collection	2009-12-24
200904-2900-007 Approved without change	New collection (Request for a new OMB Control Number)	2009-05-14