Advanced Directive - Living Will and Durable Power of Attorney

Advanced Directive - Living Will and Durable Power of Attorney

OMB: 2900-0556

IC ID: 28738

Information Collection (IC) Details

View Information Collection (IC)

Advanced Directive - Living Will and Durable Power of Attorney 2900-0556
 
No Modified
 
Voluntary
 
38 CFR 17.32

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-0137 VA ADVANCE DIRECTIVE:DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL VA Form 10-0137.pdf No   Paper Only

Health Health Care Services

 

343,622 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 343,622 0 0 87,369 0 256,253
Annual IC Time Burden (Hours) 171,811 0 0 43,684 0 128,127
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy