[Federal Register Volume 81, Number 90 (Tuesday, May 10, 2016)]
[Notices]
[Pages 28887-28888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10936]
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DEPARTMENT OF JUSTICE
[OMB Number 1105-0099]
United States Marshals Service; Agency Information Collection
Activities; Proposed Collection Comments Requested; Extension With
Change, of a Previously Approved Collection USMS Medical Forms
AGENCY: U.S. Marshals Service, Department of Justice.
ACTION: 60-day notice.
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SUMMARY: The Department of Justice (DOJ), U.S. Marshals Service, will
be submitting the following information collection request to the
Office of Management and Budget (OMB) for review and approval in
accordance with the Paperwork Reduction Act of 1995.
DATES: Comments are encouraged and will be accepted for 60 days until
July 11, 2016.
FOR FURTHER INFORMATION CONTACT: If you have additional comments
especially on the estimated public burden or associated response time,
suggestions, or need a copy of the proposed information collection
instrument with instructions or additional information, please contact
Nicole Timmons, U.S. Marshals Service, Washington, DC 20530-0001
(phone: 202-307-5168).
SUPPLEMENTARY INFORMATION: Written comments and suggestions from the
public and affected agencies concerning the proposed collection of
information are encouraged. Your comments should address one or more of
the following four points:
--Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the U.S. Marshals
Service, including whether the information will have practical utility;
--Evaluate the accuracy of the agency's estimate of the burden of the
proposed collection of information, including the validity of the
[[Page 28888]]
methodology and assumptions used;
--Evaluate whether and if so how the quality, utility, and clarity of
the information to be collected can be enhanced; and
--Minimize the burden of the collection of information on those who are
to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submission of responses.
Overview of This Information Collection
1. Type of Information Collection: Extension of a currently
approved collection.
2. The Title of the Form/Collection: USMS Medical Forms
3. The agency form number, if any, and the applicable component of
the Department sponsoring the collection:
Form Numbers:
--USM-522A Physician Evaluation Report for USMS Operational Employees
--USM-522P Physician Evaluation Report for USMS Operational Employees--
Pregnancy Only
--USM-600 Physical Requirements of USMS District Security Officers
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
Component for all above-listed forms: U.S. Marshals Service.
4. Affected public who will be asked or required to respond, as
well as a brief abstract:
--USM-522A Physician Evaluation Report for USMS Operational Employees
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: This form is completed by an USMS operational
employee's treating physician to report any illness/injury (other than
pregnancy) that requires restriction from full performance of duties
for longer than 80 consecutive hours.
--USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: Form USM-522P must be completed by the OB/GYN
physician of pregnant USMS operational employees to specify any
restrictions from full performance of duties.
--USM-600 Physical Requirements of USMS District Security Officers
Affected public: Private sector (Physicians)
[cir] Brief abstract: It is the policy of the USMS to ensure a law
enforcement work force that is medically able to safely perform
therequired job functions. All applicants for law enforcement positions
must have pre-employment physical examinations; existing District
Security Officers (DSOs) must recertify that they are physically fit to
perform the duties of their position each year. DSOs are individual
contractors, not employees of USMS; Form USM-522 does not apply to
DSOs.
--CSO-012 Request to Reevaluate Court Security Officer's Qualification
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: This form is completed by the Court Security
Officer (CSO)'s attending physician to determine whether a CSO is
physically able to return to work after an injury, serious illness, or
surgery. The physician returns the evaluation to the contracting
company, and if the determination is that the CSO may return to work,
the CSO-012 is then signed off on by the contracting company and
forwarded to the USMS for final review by USMS' designated medical
reviewing official. Court Security Officers are contractors, not
employees of USMS; Form USM-522A does not apply to CSOs.
5. An estimate of the total number of respondents and the amount of
time estimated for an average respondent to respond:
--USM-522A Physician Evaluation Report for USMS Operational Employees
It is estimated that 208 respondents will complete a 20 minute form
twice per year.
--USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
It is estimated that 7 respondents will complete a 15 minute form
twice per year.
--USM-600 Physical Requirements of USMS District Security Officers
It is estimated that 2,000 respondents will complete a 20 minute
form.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
It is estimated that 300 respondents will complete a 30 minute
form.
6. An estimate of the total public burden (in hours) associated
with the collection:
--USM-522A Physician Evaluation Report for USMS Operational Employees
There are an estimated 139 annual total burden hours associated
with this collection.
--USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
There are an estimated 4 annual total burden hours associated with
this collection.
--USM-600 Physical Requirements of USMS District Security Officers
There are an estimated 667 annual total burden hours associated
with this collection.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
There are an estimated 150 annual total burden hours associated
with this collection.
Total Annual Time Burden (Hr): 960.
If additional information is required contact: Jerri Murray,
Department Clearance Officer, United States Department of Justice,
Justice Management Division, Policy and Planning Staff, Two
Constitution Square, 145 N Street NE., 3E.405B, Washington, DC 20530.
Dated: May 5, 2016.
Jerri Murray,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2016-10936 Filed 5-9-16; 8:45 am]
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