Close Personal Friend Statement of Relationship to Veteran

VA Advance Directive - Durable Power of Attorney for Health Care and Living Will (VA Form 10-0137)

OMB: 2900-0556

IC ID: 241723

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Close Personal Friend Statement of Relationship to Veteran 2900-0556
No Modified
38 CFR 17.32

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

Health Health Care Services


300 0
Individuals or Households
   0 %

  Requested 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 300 0 0 0 300 0
Annual IC Time Burden (Hours) 50 0 0 0 50 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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