[Federal Register Volume 78, Number 159 (Friday, August 16, 2013)]
[Notices]
[Pages 50136-50137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-20127]
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DEPARTMENT OF STATE
[Public Notice 8421]
Notice of Information Collection Under Emergency Review: Medical
History and Examination for Foreign Service DS-1843 and DS-1622
ACTION: Notice of request for emergency OMB approval.
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SUMMARY: The Department of State has submitted the information
collection request described below to the Office of Management and
Budget (OMB) for review and approval in accordance with the emergency
review procedures of the Paperwork Reduction Act of 1995. The purpose
of this notice is to allow for public comment from all interested
individuals and organizations. Emergency review and approval of this
collection has been requested from OMB immediately. If granted, the
emergency approval is only valid for 180 days.
ADDRESSES: Direct any comments on this emergency request to the
Department of State Desk Officer in the Office of Information and
Regulatory Affairs at the Office of Management and Budget (OMB).
You may submit comments to OMB by the following methods:
Email: [email protected]. You must include the
DS form number, information collection title, and OMB control number in
the subject line of your message.
Fax: 202-395-5806. Attention: Desk Officer for Department
of State.
DATES: During the first 60 days of the emergency approval period, a
regular review of this information collection is also being undertaken.
The Department of State requests written comments and suggestions from
the public and affected agencies concerning this proposed collection of
information. The Department will accept comments up to October 15,
2013.
ADDRESSES: You may submit comments by any of the following methods:
Web: Persons with access to the Internet may use the
Federal Docket Management System (FDMS) to comment on this notice by
going to www.Regulations.gov. You can search for the document by
entering ``Public Notice 8421'' in the Search bar. If necessary, use
the Narrow by Agency filter option on the Results page.
Email: [email protected].
Mail: U.S. Department of State, Office of Medical
Services, Medical Clearance Section, SA-1 Room L-201, 2401 E Street
NW., Washington, DC 20522-0101.
You must include the DS form number (if applicable), information
collection title, and OMB control number in any correspondence.
FOR FURTHER INFORMATION CONTACT: Direct requests for additional
information regarding the collection listed in this notice, including
requests for copies of the proposed collection instrument and
supporting documents, to Susan B. Summers, Chief of Medical Clearances,
SA-15A, who may be reached on 703-875-5413 or [email protected].
SUPPLEMENTARY INFORMATION:
Title of Information Collection: Medical History and
Examination for Foreign Service.
OMB Control Number: 1405-0068.
Type of Request: Emergency Review.
Originating Office: M/MED/MC.
Form Number: DS-1843, DS-1622.
Respondents: Foreign Service candidates who have been
given provisional offers of employment and other individuals who
participate in the Department of State's Medical Program.
Estimated Number of Respondents: 23,245.
Estimated Number of Responses: 23,245.
Average Time per Response: 1 Hour.
Total Estimated Burden Time: 23,245 Hours.
Frequency: Once after conditional offer of employment,
and, during the employment of the member of the Foreign Service, at
intervals between assignments abroad.
Obligation to respond: Mandatory.
We are soliciting public comments to permit the Department to:
Evaluate whether the proposed information collection is
necessary for the proper functions of the Department.
Evaluate the accuracy of our estimate of the time and cost
burden of this proposed collection, including the validity of the
methodology and assumptions used.
Enhance the quality, utility, and clarity of the
information to be collected.
Minimize the reporting burden on those who are to respond,
including the use of automated collection techniques or other forms of
information technology.
Please note that comments submitted in response to this Notice are
public record. Before including any detailed personal information, you
should be aware that your comments as submitted, including your
personal information, will be available for public review.
Abstract of proposed collection:
Pursuant to the Foreign Service Act of 1980, as amended, the
Secretary of State
[[Page 50137]]
has the authority to establish a Medical Program, and the information
at issue is collected in accordance with 22 U.S.C. 4084, 3901, and
3984. The information collected in Form DS-1843 is needed to determine
whether a candidate for a Foreign Service appointment can obtain the
medical clearance that is a requirement of the appointment.
Additionally, the information collected in Form DS-1843 and Form DS-
1622 is used to provide and to update medical clearances for
individuals who participate in the Medical Program.
Methodology:
After the individual and his or her health care provider complete
the form, it can be faxed or scanned and emailed to [email protected].
Dated: August 6, 2013.
Susan B. Summers,
Chief Medical Clearance Section, Office of Medical Services, Department
of State.
[FR Doc. 2013-20127 Filed 8-15-13; 8:45 am]
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