[Federal Register Volume 78, Number 231 (Monday, December 2, 2013)]
[Notices]
[Page 72124]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-28731]
=======================================================================
-----------------------------------------------------------------------
PEACE CORPS
Information Collection Request; Submission for OMB Review
AGENCY: Peace Corps.
ACTION: 60-day notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: The Peace Corps will be submitting the following information
collection request to the Office of Management and Budget (OMB) for
review and approval. The purpose of this notice is to allow 60 days for
public comment in the Federal Register preceding submission to OMB. We
are conducting this process in accordance with the Paperwork Reduction
Act of 1995 (44 U.S.C. Chapter 35).
DATES: Comments must be submitted on or before January 31, 2014.
ADDRESSES: Comments should be addressed to Denora Miller, FOIA/Privacy
Act Officer. Denora Miller can be contacted by telephone at 202-692-
1236 or email at [email protected]. Email comments must be made in
text and not in attachments.
FOR FURTHER INFORMATION CONTACT: Denora Miller at Peace Corps address
above.
SUPPLEMENTARY INFORMATION:
Method: Applicants gain access to the form via a secure online
portal. Applicants have to download the form for their health care
provider to complete. The completed form can be scanned and uploaded
back into the Applicant's secure Peace Corps online portal or they can
be faxed or mailed to the Peace Corps Office of Medical Services.
Title: Peace Corps Report of Physical Examination (PC 1790S)
OMB Control Number: 0420-0549
Type of Request: Extension without change of a currently approved
collection.
Affected Public: Individuals/Physicians.
Respondents Obligation to Reply: Voluntary.
Burden to the Public:
a. Estimated number of respondents/physicians: 4,000/4,000.
b. Estimated average burden per response: 90 minutes/45 minutes.
c. Frequency of response: one time.
d. Annual reporting burden: 6,000 hours/3,000 hours.
e. Estimated annual cost to respondents: Indeterminate
General Description of Collection: The Peace Corps Act requires
that Volunteers receive health examinations prior to their service. The
information collected is required for consideration for Peace Corps
Volunteer service. After completion of the Health History Form and
after passing preliminary non-health-related assessments, the Applicant
will be ``nominated'' to a program. This nomination does not guarantee
an invitation to serve, but it does hold a place so the Applicant may
proceed with the process. After a review by the Peace Corps pre-service
medical staff of the Health History Form and any supplemental forms
that the Applicant is required to submit following nomination (covered
under OMB control number 0420-0510), the Applicant may be medically
pre-cleared. An Applicant who is medically pre-cleared and who accepts
an invitation to serve as a Peace Corps Volunteer undergoes a final
medical clearance. Final medical clearance is on the basis of a
complete physical examination, as documented in a Report of Physical
Examination (PC-1790S).
The information contained in the Report of Physical Examination
will be used to make an individualized determination as to whether an
Applicant for Volunteer service will, with reasonable accommodation, be
able to perform the essential functions of a Peace Corps Volunteer and
complete a tour of service without undue disruption due to health
problems and, if so, to establish the level of medical and other
support, if any, that may be required to reasonably accommodate the
Applicant.
Request For Comment: Peace Corps invites comments on whether the
proposed collections of information are necessary for 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 collection of information,
including the validity 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.
This notice is issued in Washington, DC, on November 21, 2013.
Denora Miller,
FOIA/Privacy Act Officer, Management.
[FR Doc. 2013-28731 Filed 11-29-13; 8:45 am]
BILLING CODE 6051-01-P