Veterans Health Administration, Department of Veterans Affairs.
In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Health Administration (VHA), Department of Veterans Affairs, will submit 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.
Written comments and recommendations on the proposed collection of information should be received on or before July 7, 2014.
Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0556 (Living Will and Durable Power of Attorney for Health Care)” in any correspondence. During the comment period, comments may be viewed online through the FDMS.
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FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email email@example.com. Please refer to “OMB Control No. 2900-0556 (Living Will and Durable Power of Attorney for Health Care)” in any correspondence.
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Under the PRA of 1995 (Pub. L. 104-13; 44 U.S.C. 3501-3521), Federal agencies must obtain approval from the Office of Start Printed Page 32610Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA.
With respect to the following collection of information, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA's functions, including whether the information will have practical utility; (2) the accuracy of VHA's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology.
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: Revision of a currently approved collection.
Abstract: A claimant admitted to a VA medical facility completes VA Form 10-0137 to appoint a health care agent to make decisions about the claimant's medical treatment, and to record specific instructions about the claimant's treatment preferences in the event the claimant no longer can express their preferred treatment. VA's health care professionals use the data collected 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 January 17, 2014, at page 3272.
Affected Public: Individuals or households.
Estimated Annual Burden: 171,811 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 343,622.
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Dated: June 2, 2014.
By direction of the Secretary.
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2014-13075 Filed 6-4-14; 8:45 am]
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