Advanced Directive - Living Will and Durable Power of Attorney

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0556 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 10-0137 Advanced Directive - Living Will and Durable Power of Attorney Form
VA Form 10-0137 VA Advance Directive: Durable Power of Attorney for Heal 2900-0556 Revised VAF 10-0137.pdf Form
VA Form 10-0137 VA Advance Directive: Durable Power of Attorney for Heal 2900-0556 Old VAF 10-0137 with changes annotated.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Advanced Directive - Living Will and Durable Power of Attorney	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 10-0137	VA Advance Directive: Durable Power of Attorney for Health Care and Living Will	2900-0556 Old VAF 10-0137 with changes annotated.pdf		No		Paper Only
Form	VA Form 10-0137	VA Advance Directive: Durable Power of Attorney for Health Care and Living Will	2900-0556 Revised VAF 10-0137.pdf		No		Paper Only

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 256,253	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	256,253	256,253
Annual IC Time Burden (Hours)	128,127	128,127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.