Information Collection

Advanced Directive - Living Will and Durable Power of Attorney

IC 28738 under ICR 200509-2900-001 · OMB 2900-0556.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0556 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Advanced Directive - Living Will and Durable Power of Attorney	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-0137				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 256,253	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	256,253	13,253	243,000
Annual IC Time Burden (Hours)	128,127	26,877	101,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.