Information Collection Request
VA Advance Directive - Durable Power of Attorney for Health Care and Living Will (VA Form 10-0137)
ICR 202312-2900-003 · OMB 2900-0556 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 10-0137 VA Form 10-0137 |
Form and Instruction | Unchanged | Repair queued |
 30-day FRN_2900-0556_VA Advance Directive_POA for Health Care & Living Will_published 02262024.pdf |
Supplementary Document | Uploaded 2024-02-26 | Missing upstream |
| 60-day FRN_2900-0556_VA Advance Directive_POA for Health Care & Living Will_published 12182023.pdf |
Supplementary Document | Uploaded 2024-02-06 | Repair queued |
 Supp Stmnt A_2900-0556_VA Adv Directive - POA for Health Care & Living Will_updated Feb 2024.docx |
Supporting Statement A | Uploaded 2024-02-26 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 242471 |  VA Form 10-0137 |
Form and Instruction | Unchanged | |
| 241723 | Close Personal Friend Statement of Relationship to Veteran |
Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0556 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202010-2900-001 |
| Agency Tracking No | 2900-0556 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |