[Federal Register Volume 65, Number 140 (Thursday, July 20, 2000)]
[Notices]
[Page 45117]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 00-18348]


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PEACE CORPS


Proposed Information Collection Requests

AGENCY: Peace Corps.

ACTION: Notice of public use form review request to the Office of 
Management and Budget (0420-0510).

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SUMMARY: Pursuant to the Paperwork Reduction Act of 1981 (44 U.S.C., 
Chapter 35) the Peace Corps has submitted to the Office of Management 
and Budget a request for approval of information collection, OMB 
Control Number 0420-0510, the Peace Corps Health Status Review Form 
(PC-1789) and the Report of Medical Exam Form (PC-1790). The purpose of 
this notice is to allow for public comments on whether the proposed 
collection of information is necessary for the proper performance of 
the functions of the Peace Corps, including whether the information 
will have practical use; the accuracy of the agency's estimate of the 
burden of the proposed collections information, including the validity 
of the methodology and assumptions used; ways to enhance the quality, 
utility and clarity of the information to be collected; and, ways to 
minimize the burden of the collection of information on those who are 
to respond, including through the use of automated collection 
techniques, when appropriate, and other forms of information 
technology. A copy of the information collection may be obtained from 
David O'Neill, Office of Medical Services, Peace Corps, 1111 20th 
Street, NW, Room 5305, Washington, DC 20526. Mr. O'Neill may be 
contacted by telephone at 202-692-1577. Comments on these forms should 
also be addressed to the attention of David O'Neill. You must submit 
your comments by September 18, 2000.

Information Collection Abstract

    Title: Health Status Review From (PC-1789); (Report of Medical Exam 
Form (PC-1790).
    Need For and Use of This Information: This collection of 
information is necessary to comply with the Peace Corps Act (Section 
5(e)) which states that ``applicants for enrollment shall receive such 
health examinations preparatory to their service * * * as the President 
may deem necessary or appropriate * * * to provide the information 
needed for clearance, and to serve as a reference for any future 
Volunteer medical clearance, and to serve as a reference for any future 
Volunteer disability claim.'' The Peace Corps uses this information to 
determine the physical and mental suitability for service as a Peace 
Corps Volunteer.
    Respondents: Peace Corps Applicants.
    Respondent's Obligation to Reply: Mandatory.
    Burden on the Public:
Health Status Review Form (PC-1789)
a. Annual reporting burden: 1,625 hours
b. Annual record keeping burden: 0 hours
c. Estimated average burden per response: 15 minutes
d. Frequency of response: one time
e. Estimated number of likely respondents: 6,500
f. Estimated Cost to Respondents: $3.04 per

    Burden on the Public:
Report of Medical Exam Form (PC-1789)
a. Annual reporting burden: 3,000 hours
b. Annual record keeping burden: 0 hours
c. Estimated average burden per response: 30 minutes
d. Frequency of response: one time
e. Estimated number of likely respondents: 6,000
f. Estimated Cost to Respondents: $6.08 per
    Responses will be returned by postage-paid reply mail.

    This notice is issued in Washington, DC, on July 7, 2000.
Doug Greene,
Chief, Information Officer and Associate Director for Management.
[FR Doc. 00-18348 Filed 7-17-00; 4:24 pm]
BILLING CODE 6051-01-M