[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]
-----------------------------------------------------------------------
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: 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