81 FR 83922 - 30-Day Notice of Proposed Information Collection: Self Certification and Ability To Perform in Emergencies (ESCAPE) Program

DEPARTMENT OF STATE

Federal Register Volume 81, Issue 225 (November 22, 2016)

Page Range		83922-83922
FR Document		2016-28044

The Department of State has submitted the information collection described below to the Office of Management and Budget (OMB) for approval. In accordance with the Paperwork Reduction Act of 1995 we are requesting comments on this collection from all interested individuals and organizations. The purpose of this Notice is to allow 30 days for public comment.

Federal Register, Volume 81 Issue 225 (Tuesday, November 22, 2016)

[Federal Register Volume 81, Number 225 (Tuesday, November 22, 2016)]
[Notices]
[Page 83922]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-28044]



[[Page 83922]]

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DEPARTMENT OF STATE

[Public Notice 9789]


30-Day Notice of Proposed Information Collection: Self 
Certification and Ability To Perform in Emergencies (ESCAPE) Program

ACTION: Notice of request for public comment and submission to OMB of 
proposed collection of information.

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SUMMARY: The Department of State has submitted the information 
collection described below to the Office of Management and Budget (OMB) 
for approval. In accordance with the Paperwork Reduction Act of 1995 we 
are requesting comments on this collection from all interested 
individuals and organizations. The purpose of this Notice is to allow 
30 days for public comment.

DATES: Submit comments directly to the Office of Management and Budget 
(OMB) up to December 22, 2016.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by the following 
methods:
     Email: [email protected]. You must include the 
DS form number, information collection title, and the OMB control 
number in the subject line of your message.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, to Joan F. Grew, who may be reached on 703-875-
5412 or at [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Self Certification and 
Ability To Perform in Emergencies (ESCAPE) Program.
     OMB Control Number: 1405-0224.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services (MED).
     Form Number: DS-6570.
     Respondents: Non-federal individuals being considered for 
contracted assignments at ESCAPE-designated posts.
     Estimated Number of Respondents: 200.
     Estimated Number of Responses: 200.
     Average Time per Response: 30 minutes.
     Total Estimated Burden Time: 100 annual hours.
     Frequency: One time per deployment to ESCAPE post.
     Obligation to Respond: Required to obtain a benefit.
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden for this proposed collection, including the validity of the 
methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
information technology.

    Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.

Abstract of Proposed Collection

    The goal of the ``Self Certification and Ability To Perform In 
Emergencies'' (ESCAPE) program is to ensure that non-federal 
individuals who are being considered for a contracted position at a 
designated post are capable of the unique, potentially challenging and 
life threatening conditions at ESCAPE posts. These individuals are 
required to review with a medical provider the pre-deployment 
acknowledgement form (DS-6570) and then affirm that they understand the 
physical rigors and security conditions at these posts and can perform 
any specified emergency functions. Medical information is collected 
from medical providers and respondents during this review. The 
Department of State is requesting approval of this Information 
Collection so non-federal individuals who will be selected for 
assignments can provide completed pre-deployment medical information. 
This Collection is allowed under the Foreign Service Act of 1980 (22 
U.S.C. 3901) and the Basic Authorities Act of 1956 (22 U.S.C. 2651).

Methodology

    The information collected will be collected using a form (DS-6570) 
during a medical review between a non-federal individual and his/her 
medical provider. The individual will submit the completed form, signed 
by both the individual and provider, to the Bureau of Medical Services 
at the U.S. Department of States.

Behzad Shahbazian,
Director of Clinical Services, Bureau of Medical Services, Department 
of State.
[FR Doc. 2016-28044 Filed 11-21-16; 8:45 am]
 BILLING CODE 4710-36-P

83922 Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices

DEPARTMENT OF STATE • Frequency: One time per of Medical Services at the U.S.
deployment to ESCAPE post. Department of States.
[Public Notice 9789]
• Obligation to Respond: Required to
Behzad Shahbazian,
30-Day Notice of Proposed Information obtain a benefit.
We are soliciting public comments to Director of Clinical Services, Bureau of
Collection: Self Certification and Medical Services, Department of State.
Ability To Perform in Emergencies permit the Department to:
[FR Doc. 2016–28044 Filed 11–21–16; 8:45 am]
(ESCAPE) Program • Evaluate whether the proposed
information collection is necessary for BILLING CODE 4710–36–P

ACTION:Notice of request for public the proper functions of the Department.
comment and submission to OMB of • Evaluate the accuracy of our
proposed collection of information. estimate of the time and cost burden for DEPARTMENT OF TRANSPORTATION
this proposed collection, including the
SUMMARY: The Department of State has validity of the methodology and Federal Motor Carrier Safety
submitted the information collection assumptions used. Administration
described below to the Office of • Enhance the quality, utility, and [Docket No. FMCSA–2016–0412]
Management and Budget (OMB) for clarity of the information to be
approval. In accordance with the collected. Post-Accident Reporting (PAR)
Paperwork Reduction Act of 1995 we • Minimize the reporting burden on Advisory Committee Meeting: Public
are requesting comments on this those who are to respond, including the Meeting
collection from all interested use of automated collection techniques
individuals and organizations. The or other forms of information AGENCY: Federal Motor Carrier Safety
purpose of this Notice is to allow 30 technology. Administration (FMCSA), DOT.
days for public comment. ACTION: Announcement of advisory
DATES: Submit comments directly to the
Please note that comments submitted
committee public meeting.
Office of Management and Budget in response to this Notice are public
(OMB) up to December 22, 2016. record. Before including any detailed SUMMARY: FMCSA announces a meeting
personal information, you should be of its Post-Accident Reporting (PAR)
ADDRESSES: Direct comments to the
aware that your comments as submitted, Advisory Committee on Tuesday, and
Department of State Desk Officer in the
including your personal information, Wednesday, December 6 and 7, 2016.
Office of Information and Regulatory
will be available for public review. The PAR Advisory Committee will
Affairs at the Office of Management and
Budget (OMB). You may submit Abstract of Proposed Collection continue the work it began as a
comments by the following methods: subcommittee of the Motor Carrier
The goal of the ‘‘Self Certification and Safety Advisory Committee (MCSAC) in
• Email: oira_submission@
Ability To Perform In Emergencies’’ April 2016 at the meeting of the
omb.eop.gov. You must include the DS
(ESCAPE) program is to ensure that non- Commercial Vehicle Safety Alliance
form number, information collection
federal individuals who are being (CVSA). Under section 5306 of the
title, and the OMB control number in
considered for a contracted position at FAST Act, the PAR is charged with
the subject line of your message.
a designated post are capable of the
• Fax: 202–395–5806. Attention: Desk reviewing post-accident reports and
unique, potentially challenging and life making recommendations on the data
Officer for Department of State.
threatening conditions at ESCAPE posts. elements required by the reports and
FOR FURTHER INFORMATION CONTACT:
These individuals are required to review any modifications that may improve
Direct requests for additional with a medical provider the pre-
information regarding the collection their use through the addition of data
deployment acknowledgement form elements. The PAR will deliberate on
listed in this notice, including requests (DS–6570) and then affirm that they
for copies of the proposed collection Task 16–1 and make recommendations
understand the physical rigors and to the FMCSA Administrator for
instrument and supporting documents, security conditions at these posts and
to Joan F. Grew, who may be reached on transmittal to the Secretary. The
can perform any specified emergency meeting is open to the public for its
703–875–5412 or at GrewJF@state.gov. functions. Medical information is
SUPPLEMENTARY INFORMATION:
entirety.
collected from medical providers and
• Title of Information Collection: Self respondents during this review. The
TIMES AND DATES: The meeting will be
Certification and Ability To Perform in held on Tuesday, December 6 and
Department of State is requesting
Emergencies (ESCAPE) Program. Wednesday, December 7, 2016, from
approval of this Information Collection
• OMB Control Number: 1405–0224. 9:15 a.m. to 5 p.m., Eastern Time (E.T.),
so non-federal individuals who will be
• Type of Request: Revision of a at the DoubleTree by Hilton Washington
selected for assignments can provide
Currently Approved Collection. DC—Crystal City, 300 Army Navy Drive,
• Originating Office: Bureau of completed pre-deployment medical
Arlington, VA 22202. Copies of the task
Medical Services (MED). information. This Collection is allowed
statement and an agenda for the entire
• Form Number: DS–6570. under the Foreign Service Act of 1980
meeting will be made available in
• Respondents: Non-federal (22 U.S.C. 3901) and the Basic
advance of the meeting at http://
individuals being considered for Authorities Act of 1956 (22 U.S.C.
par.fmcsa.dot.gov.
contracted assignments at ESCAPE- 2651).
designated posts. FOR FURTHER INFORMATION CONTACT: Ms.
Methodology
• Estimated Number of Respondents: Shannon L. Watson, Senior Policy
sradovich on DSK3GMQ082PROD with NOTICES

200. The information collected will be Advisor, Federal Motor Carrier Safety
• Estimated Number of Responses: collected using a form (DS–6570) during Administration, U.S. Department of
200. a medical review between a non-federal Transportation, 1200 New Jersey
• Average Time per Response: 30 individual and his/her medical Avenue SE., Washington, DC 20590,
minutes. provider. The individual will submit the (202) 366–5221.
• Total Estimated Burden Time: 100 completed form, signed by both the Services for Individuals With
annual hours. individual and provider, to the Bureau Disabilities: For information on facilities

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Document Created: 2018-02-14 08:29:08
Document Modified: 2018-02-14 08:29:08

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice of request for public comment and submission to OMB of proposed collection of information.
Dates		Submit comments directly to the Office of Management and Budget (OMB) up to December 22, 2016.
Contact		Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed collection instrument and supporting documents, to Joan F. Grew, who may be reached on 703-875- 5412 or at [email protected]
FR Citation		81 FR 83922