[Federal Register Volume 81, Number 59 (Monday, March 28, 2016)]
[Pages 17135-17136]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-06929]



Forest Service

Submission for OMB Review; Comment Request

March 22, 2016.
    The Department of Agriculture has submitted the following 
information collection requirement(s) to OMB for review and clearance 
under the Paperwork Reduction Act of 1995, Public Law 104-13. Comments 
are requested regarding (1) whether the collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility; (2) the 
accuracy of the agency's estimate of burden including the validity of 
the methodology and assumptions used; (3) ways to enhance the quality, 
utility and clarity of the information to be collected; and (4) ways to 
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 
and other forms of information technology.
    Comments regarding this information collection received by April 
27, 2016 will be considered. Written comments should be addressed to: 
Desk Officer for Agriculture, Office of Information and Regulatory 
Affairs, Office of Management and Budget (OMB), New Executive Office 
Building, 725 17th Street NW., Washington, DC, 20503. Commentors are 
encouraged to submit their comments to OMB via email to: 
[email protected] or fax (202) 395-5806 and to Departmental 
Clearance Office, USDA, OCIO, Mail Stop 7602, Washington, DC 20250-
7602. Copies of the submission(s) may be obtained by calling (202) 720-
    An agency may not conduct or sponsor a collection of information 
unless the collection of information displays a currently valid OMB 
control number and the agency informs potential persons who are to 
respond to the collection of information that such persons are not 
required to respond to the collection of information unless it displays 
a currently valid OMB control number.

Forest Service

    Title: Health Screening Questionnaire.
    OMB Control Number: 0596-0164.
    Summary of Collection: The Protection Act of 1922 (16 U.S.C. 594) 
authorizes the Forest Service (FS) to fight fires on National Forest 
System lands. Title 5 CFR, part 339, authorizes the FS to establish 
medical qualification standards and require pre-appointment medical 
examinations, regular recurring periodic examinations after 
appointment, and whenever there is a direct question about a 
firefighter's continued ability to meet the medical qualification 
standards. The information collected pertains to an individual's health 
status and health history. The collection of this information and use 
thereof are consistent with the provisions of 5 U.S.C. 552a (Privacy 
Act of 1974).
    Need and Use of the Information: Individuals seeking 
recertification or employment as a new firefighter with the FS or 
Department of Interior (DOI) must complete the Health Screening 
Questionnaire (HSQ). FS and DOI will collect information from potential 
applicants using forms FS-5100-30, Work Capacity Test Informed Consent 
and FS-5100-31, Health Screening Questionnaire. Applicants will also 
need to complete the Wildland Firefighter Medical Qualifications 
Program Medical Exam and a Self-Certification Statement and Blood 
Pressure Check. Wildland firefighters perform long hours of arduous 
labor in adverse conditions. The information collected is used to 
determine whether an individual being considered for a position can 
carry out those duties in a manner that will not place the candidate or 
coworkers unduly at risk due to inadequate physical fitness and health. 
If the information is not collected, the Government's liability risk is 
high, special needs of an individual may not be known, or the screening 
of an applicant's physical suitability would be greatly inhibited.
    Description of Respondents: Individuals or households.
    Number of Respondents: 20,271.
    Frequency of Responses: Reporting: Annually.

[[Page 17136]]

    Total Burden Hours: 8,268.

Charlene Parker,
Departmental Information Collection Clearance Officer.
[FR Doc. 2016-06929 Filed 3-25-16; 8:45 am]