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DEPARTMENT OF VETERANS AFFAIRS

Veterans Affairs Department

OMB ID: [OMB Control No. 2900-0556]

NOTICE: NOTICES

DOCUMENT ACTION: Notice.

SUBJECT CATEGORY: Agency Information Collection (Living Will and Durable Power of Attorney for Health Care) Activities Under OMB Review

DATES: Comments must be submitted on or before August 22, 2008.

DOCUMENT SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 35013521), this notice announces that the Veterans Health Administration (VHA), Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and
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Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden and includes the actual data collection instrument.

SUMMARY: Agency Information Collection Activities; Proposals, Submissions, and Approvals,


SUPPLEMENTAL INFORMATION

Title: VA Advance Directive: Living Will and Durable Power of Attorney for Health Care, VA Form 100137.

OMB Control Number: 29000556.

Abstract: Claimants admitted to a VA medical facility complete VA Form 100137 to appoint a health care agent to make decisions about his or her medical treatment and to record specific instructions about their treatment preferences in the event they no longer can express their preferred treatment. VA's health care professionals use the data to carry out the claimant's wish.

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The Federal Register Notice with a 60day comment period soliciting comments on this collection of information was published on May 14, 2008 at page 27894.

Affected Public: Individuals or households.

Estimated Total Annual Burden: 171,811 hours.

Estimated Average Burden per Respondent: 30 minutes.

Frequency of Response: One time.

Estimated Number of Respondents: 343,622.

Dated: July 15, 2008.

By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E816809 Filed 72208; 8:45 am]
BILLING CODE 832001P

FOR FURTHER INFORMATION CONTACT Denise McLamb, Records Management Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 4617485, fax (202) 2730443 or email denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900 0556.''


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