[Federal Register Volume 78, Number 231 (Monday, December 2, 2013)]
[Notices]
[Pages 72124-72125]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-28732]


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PEACE CORPS


Information Collection Request; Submission for OMB Review

AGENCY: Peace Corps.

ACTION: 60-day notice and request for comments.

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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: The Health History Form will be completed online in an 
interactive process in which only questions relevant to each 
Applicant's medical history (based on responses to previous questions) 
are presented.
    Title: Peace Corps Volunteer Health History Form (PC 1789).
    OMB Control Number: 0420-0510.
    Type of Request: Extension without change of a currently approved 
collection.
    Affected Public: Individuals.
    Respondents Obligation to Reply: Voluntary.
    Burden to the Public:
a. Estimated number of respondents: 10,000.
b. Estimated average burden per response: 45 minutes.
c. Frequency of response: one time.
d. Annual reporting burden: 7,500 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. The Health History Form is used to document the 
medical history of each individual Applicant. It is a self-report of 
pre-existing medical conditions and

[[Page 72125]]

is used to help determine whether the Applicant 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.
    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. 2013-28732 Filed 11-29-13; 8:45 am]
BILLING CODE 6051-01-P