[Federal Register Volume 70, Number 182 (Wednesday, September 21, 2005)]
[Notices]
[Pages 55453-55454]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-18874]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0556]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Veterans Health 
Administration (VHA), Department of Veterans Affairs, has submitted the 
collection of information abstracted below to the Office of Management 
and 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.

DATES: Comments must be submitted on or before October 21, 2005.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Records Management Service (005E3), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, 
FAX (202) 273-5981 or e-mail to: <a href="/cdn-cgi/l/email-protection#c9adaca7a0baace7a4aaa5a8a4ab89a4a8a0a5e7bfa8e7aea6bf"><span class="__cf_email__" data-cfemail="dfbbbab1b6acbaf1b2bcb3beb2bd9fb2beb6b3f1a9bef1b8b0a9">[email protected]</span></a>. Please 
refer to ``OMB Control No. 2900-0556.''
    Send comments and recommendations concerning any aspect of the 
information collection to VA's OMB Desk Officer, OMB Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503, (202) 395-7316. Please refer to ``OMB Control No. 
2900-0556'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: VA Advance Directive: Living Will and Durable Power of 
Attorney for Health Care, VA Form 10-0137.
    OMB Control Number: 2900-0556.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants admitted to a VA medical facility complete VA 
Form 10-0137 to appoint a health care agent to

[[Page 55454]]

make decision about his or her medical treat 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 
60-day comment period soliciting comments on this collection of 
information was published on April 29, 2005, at pages 22391-22392.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 128,127 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 256,253.

    Dated: September 9, 2005.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. 05-18874 Filed 9-20-05; 8:45 am]
BILLING CODE 8320-01-P


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