[Federal Register Volume 64, Number 169 (Wednesday, September 1, 1999)]
[Notices]
[Page 47894]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-22811]
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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 October 1, 1999.
FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: James
Good, Information Management Service (045A4), Department of Veterans
Affairs, 810 Vermont Avenue, NW, Washington, DC 20420, (202) 273-8001
or FAX (202) 273-5981. Please refer to ``OMB Control No. 2900-0556.''
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: Reinstatement, with change, of a previously
approved collection for which approval has expired.
Abstract: VA Form 10-0137, is used for the purpose of documenting a
VA patient's specific instructions about health care decisions to be
carried out in the event patient is no longer competent or able to give
those instructions or make those choices verbally.
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 December 23, 1998 at pages 71191-71192.
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.
Send comments and recommendations concerning any aspect of the
information collection to VA's OMB Desk Officer, Allison Eydt, OMB
Human Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 (202) 395-4650. Please refer to ``OMB
Control No. 2900-0556'' in any correspondence.
Dated: July 2, 1999.
By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 99-22811 Filed 8-31-99; 8:45 am]
BILLING CODE 8320-01-U
