[Federal Register Volume 67, Number 160 (Monday, August 19, 2002)]
[Notices]
[Pages 53840-53841]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-21010]


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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 et seq.), 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; it includes the actual data collection 
instrument.

DATES: Comments must be submitted on or before September 18, 2002.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Information Management Service (045A4), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, 
FAX (202) 273-5981 or e-mail: [email protected]. 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 at (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: VA Form 10-0137 is used to record a patient's specific 
instructions about health care decisions in the event the patient no 
longer has decision-making capacity. The information will

[[Page 53841]]

be used by health care professionals to make treatment decisions for 
the patient.
    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 June 3, 2002, at page 38319.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 101,250 hours.
    Estimated Average Burden Per Respondent: 25 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 243,000.

    Dated: August 5, 2002.

    By direction of the Secretary.
Ernesto Castro,
Director, Records Management Service.
[FR Doc. 02-21010 Filed 8-16-02; 8:45 am]
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