82_FR_15323 82 FR 15266 - 60-Day Notice of Proposed Information Collection: Medical History and Examination for Foreign Service

82 FR 15266 - 60-Day Notice of Proposed Information Collection: Medical History and Examination for Foreign Service

DEPARTMENT OF STATE

Federal Register Volume 82, Issue 57 (March 27, 2017)

Page Range15266-15267
FR Document2017-05950

The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. 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 60 days for public comment preceding submission of the collection to OMB.

Federal Register, Volume 82 Issue 57 (Monday, March 27, 2017) 
[Federal Register Volume 82, Number 57 (Monday, March 27, 2017)]
[Notices]
[Pages 15266-15267]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-05950]


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DEPARTMENT OF STATE

[Public Notice: 9780]


60-Day Notice of Proposed Information Collection: Medical History 
and Examination for Foreign Service

ACTION: Notice of request for public comment.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
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 60 days for 
public comment preceding submission of the collection to OMB.

DATES: The Department will accept comments from the public up to May 
26, 2017.

ADDRESSES: You may submit comments by any of the following methods:
     Web: Persons with access to the Internet may comment on 
this notice by going to www.Regulations.gov. You can

[[Page 15267]]

search for the document by entering ``Docket Number: DOS-2016-0073'' in 
the Search field. Then click the ``Comment Now'' button and complete 
the comment form.
     Email: [email protected].
     Regular Mail: Send written comments to: Office of Medical 
Clearances, SA-15 Room 400, 1800 North Kent St., Rosslyn, VA. 22209.
     Fax: 703-875-4850.
You must include the DS form number (if applicable), information 
collection title, and the OMB control number in any correspondence.

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: Medical History and 
Examination for Foreign Service.
     OMB Control Number: 1405-0068.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services--Medical 
Clearances Department.
     Form Numbers: DS-1843 and DS-1622.
     Respondents: Foreign Service applicants or employees or 
eligible family members.
     Estimated Number of Respondents: 7,814.
     Estimated Number of Responses: 7,814.
     Average Time per Response: 1 hour.
     Total Estimated Burden Time: 7,814 hours.
     Frequency: Upon Entry to Foreign Service and then 
intermittent, as needed.
     Obligation To Respond: Required to Obtain or Retain 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

    Forms DS-1843 and DS-1622 collect medical history, lab tests and 
physical examination for employees and family members for the Foreign 
Affairs agencies, to include State, USAID, Foreign Commercial Service, 
Foreign Agricultural Service and Broadcasting Board of Governors. Forms 
DS-1843 and DS-1622 are designed to collect sufficient and current 
medical information on the individual in order for a medical provider 
to make a medical clearance determination for initial appointment to 
the Foreign Service. They are also used to determine whether a Foreign 
Service applicant, employee, or eligible family member will have 
appropriate medical and/or educational resources at a diplomatic 
mission/host country abroad to maintain the health and safety of the 
individual or family member.

Methodology

    The information will be collected through the use of an electronic 
forms engine or by hand written submission using a pre-printed form.

Behzad Shahbazian,
Director of Clinical Services, Bureau of Medical Services, Department 
of State.
[FR Doc. 2017-05950 Filed 3-24-17; 8:45 am]
 BILLING CODE 4710-36-P

15266 Federal Register / Vol. 82, No. 57 / Monday, March 27, 2017 / Notices countries in the Great Lakes Region of production of a product are from the the specified forms of ID, please consult Africa. The United States has played a DRC or nine adjacent countries. with Julie Fort for acceptable alternative leading role encouraging responsible forms of picture identification. Andrew Weinschenk, sourcing and supply chain management Personal data is requested pursuant to Director, Office of Threat Finance Public Law 99–399 (Omnibus in the minerals sector in this region as Countermeasures, Department of State. part of broader U.S. efforts to support Diplomatic Security and Antiterrorism [FR Doc. 2017–05972 Filed 3–24–17; 8:45 am] Act of 1986), as amended; Public Law peace and security, and to ensure that the region’s resource wealth helps BILLING CODE 4710–AE–P 107–56 (USA PATRIOT Act); and advance broad, inclusive, and Executive Order 13356. The purpose of sustainable socio-economic the collection is to validate the identity DEPARTMENT OF STATE of individuals who enter Department development. The U.S. Department of State (Department), along with other [Public Notice 9927] facilities. The data will be entered into agencies and departments is seeking the Visitor Access Control System Advisory Committee on Historical (VACS–D) database. Please see the input from stakeholders to inform Diplomatic Documentation—Notice of Security Records System of Records recommendations of how best to Closed and Open Meeting for 2017 Notice (State-36) at https:// support responsible sourcing of tin, SUMMARY: The Advisory Committee on foia.state.gov/_docs/SORN/State-36.pdf, tantalum, tungsten and gold. Historical Diplomatic Documentation for additional information. DATES: The Department will consider Questions concerning the meeting will meet on May 15, 2017, in open requests and comments received or should be directed to Dr. Stephen P. session to discuss unclassified matters postmarked by April 28, 2017. Randolph, Executive Secretary, concerning declassification and transfer Advisory Committee on Historical ADDRESSES: Parties may submit input or of Department of State records to the Diplomatic Documentation, Department request stakeholder consultations to: National Archives and Records of State, Office of the Historian, ConflictMineral@state.gov. If sent by Administration and the status of the Washington, DC 20372, telephone (202) mail, written comments should be Foreign Relations series. The Committee will meet in open 955–0214, (email history@state.gov). addressed to: Ms. Elizabeth Orlando, Note that requests for reasonable U.S. Department of State, 2201 C Street session from 9:30 a.m. until 10:30 a.m. accommodation received after the date NW., Room 3843, Washington, DC in SA–4D Conference Room, indicated in this notice will be 20520. All comments should include a Department of State, 2300 E Street NW., considered, but might not be possible to contact person. Washington DC, 20372 (Potomac Navy fulfill. Hill Annex). RSVP should be sent not All comments received during this later than May 8, 2017. Requests for Stephen P. Randolph, comment period will be part of the reasonable accommodation should be Executive Secretary, Advisory Committee on official record and may become public, made by May 1, 2017. Requests made Historical, Diplomatic Documentation. no matter how initially submitted. after that date will be considered, but [FR Doc. 2017–05906 Filed 3–24–17; 8:45 am] FOR FURTHER INFORMATION CONTACT: might not be possible to fulfill. BILLING CODE 4710–11–P Details on the SEC Final Rule on Closed Session. The Committee’s Section 1502 of the Dodd-Frank Act are session in the afternoon of Monday, available on the following Web site: May 15, 2017 will be closed in DEPARTMENT OF STATE https://www.sec.gov/rules/final/2012/ accordance with Section 10(d) of the [Public Notice: 9780] Federal Advisory Committee Act (Public 34-67716.pdf. Information on the Law 92–463). The agenda calls for 60-Day Notice of Proposed Information Department’s commitment to review of classified documentation Collection: Medical History and international responsible sourcing concerning the Foreign Relations series Examination for Foreign Service standards is available on the following and other declassification issues. These Web sites: https://www.state.gov/ are matters properly classified and not Notice of request for public ACTION: documents/organization/168851.pdf, subject to public disclosure under 5 comment. http://www.oecd.org/corporate/mne/ U.S.C. 552b(c)(1) and the public interest mining.htm. requires that such activities be withheld SUMMARY: The Department of State is Please refer to this Web site or contact from disclosure. seeking Office of Management and Ms. Elizabeth Orlando at the address RSVP Instructions. Prior notification Budget (OMB) approval for the listed in the Addresses section of this and a valid government-issued photo ID information collection described below. notice. (such as driver’s license, passport, U.S. In accordance with the Paperwork Government or military ID) are required Reduction Act of 1995, we are SUPPLEMENTARY INFORMATION: for entrance into the Department of requesting comments on this collection Determined to break the link between State building. Members of the public from all interested individuals and armed groups and minerals in the Africa planning to attend the open meetings organizations. The purpose of this Great Lakes Region, in 2010 Congress should RSVP, by the dates indicated notice is to allow 60 days for public enacted Section 1502 of the Wall Street above, to Julie Fort, Office of the comment preceding submission of the Consumer Reform and Protection Act of Historian (202–955–0214). When collection to OMB. asabaliauskas on DSK3SPTVN1PROD with NOTICES 2010. That law requires the Securities responding, please provide date of birth, DATES: The Department will accept and Exchange Commission to valid government-issued photo comments from the public up to May promulgate regulations requiring identification number and type (such as 26, 2017. approximately 6,000 companies listed driver’s license number/state, passport ADDRESSES: You may submit comments on U.S. exchanges to annually disclose number/country, or U.S. Government ID by any of the following methods: to the SEC whether any ‘‘conflict number/agency or military ID number/ • Web: Persons with access to the minerals’’ (tin, tantalum, tungsten and branch), and relevant telephone Internet may comment on this notice by gold) necessary to the functionality or numbers. If you cannot provide one of going to www.Regulations.gov. You can VerDate Sep<11>2014 18:02 Mar 24, 2017 Jkt 241001 PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 E:\FR\FM\27MRN1.SGM 27MRN1

Federal Register / Vol. 82, No. 57 / Monday, March 27, 2017 / Notices 15267 search for the document by entering Please note that comments submitted in DATES: The Department will accept ‘‘Docket Number: DOS–2016–0073’’ in response to this Notice are public comments from the public up to May the Search field. Then click the record. Before including any detailed 26, 2017. ‘‘Comment Now’’ button and complete personal information, you should be ADDRESSES: You may submit comments the comment form. aware that your comments as submitted, by any of the following methods: • Email: GrewJF@state.gov. including your personal information, • Web: Persons with access to the • Regular Mail: Send written will be available for public review. Internet may comment on this notice by comments to: Office of Medical going to www.Regulations.gov. You can Clearances, SA–15 Room 400, 1800 Abstract of Proposed Collection search for the document by entering North Kent St., Rosslyn, VA. 22209. Forms DS–1843 and DS–1622 collect ‘‘Docket Number: DOS–2016–0074’’ in • Fax: 703–875–4850. medical history, lab tests and physical the Search field. Then click the You must include the DS form number examination for employees and family ‘‘Comment Now’’ button and complete (if applicable), information collection members for the Foreign Affairs the comment form. title, and the OMB control number in agencies, to include State, USAID, • Email: GrewJF@state.gov. any correspondence. Foreign Commercial Service, Foreign • Regular Mail: Send written FOR FURTHER INFORMATION CONTACT: Agricultural Service and Broadcasting comments to: Department of State, Direct requests for additional Board of Governors. Forms DS–1843 Office of Medical Clearances, SA–15 information regarding the collection and DS–1622 are designed to collect Room 400, 1800 North Kent St., listed in this notice, including requests sufficient and current medical Rosslyn, VA 22209. for copies of the proposed collection information on the individual in order • Fax: 703–875–4850. instrument and supporting documents, for a medical provider to make a You must include the DS form to Joan F. Grew who may be reached on medical clearance determination for number (if applicable), information 703–875–5412 or at GrewJF@state.gov. initial appointment to the Foreign collection title, and the OMB control SUPPLEMENTARY INFORMATION: Service. They are also used to determine number in any correspondence. • Title of Information Collection: whether a Foreign Service applicant, FOR FURTHER INFORMATION CONTACT: Medical History and Examination for employee, or eligible family member Direct requests for additional Foreign Service. will have appropriate medical and/or information regarding the collection • OMB Control Number: 1405–0068. educational resources at a diplomatic listed in this notice, including requests • Type of Request: Revision of a mission/host country abroad to for copies of the proposed collection Currently Approved Collection. maintain the health and safety of the instrument and supporting documents, • Originating Office: Bureau of individual or family member. to Joan F. Grew, who may be reached on Medical Services—Medical Clearances Methodology 703–875–5412 or at GrewJF@State.gov. Department. SUPPLEMENTARY INFORMATION: • Form Numbers: DS–1843 and DS– The information will be collected • Title of Information Collection: 1622. through the use of an electronic forms Overseas Pre-Assignment Medical • Respondents: Foreign Service engine or by hand written submission History and Examination, Non-Foreign applicants or employees or eligible using a pre-printed form. Service Personnel and Their Family family members. Behzad Shahbazian, Members. • Estimated Number of Respondents: • OMB Control Number: 1405–0194. Director of Clinical Services, Bureau of 7,814. • Type of Request: Revision of a Medical Services, Department of State. • Estimated Number of Responses: Currently Approved Collection. 7,814. [FR Doc. 2017–05950 Filed 3–24–17; 8:45 am] • Originating Office: Bureau of • Average Time per Response: 1 hour. BILLING CODE 4710–36–P Medical Services—Medical Clearances. • Total Estimated Burden Time: 7,814 • Form Number: DS–6561. hours. • Respondents: Non-foreign service DEPARTMENT OF STATE employees or family members. • Frequency: Upon Entry to Foreign Service and then intermittent, as [Public Notice: 9786] • Estimated Number of Respondents: needed. 9,890. • Estimated Number of Responses: • Obligation To Respond: Required to 60-Day Notice of Proposed Information Collection: Overseas Pre-Assignment 9,890. Obtain or Retain a Benefit. Medical History and Examination, Non- • Average Time per Response: 1 hour. We are soliciting public comments to Foreign Service Personnel and Their • Total Estimated Burden Time: 9,890 permit the Department to: hours. Family Members • Evaluate whether the proposed • Frequency: As needed. information collection is necessary for Notice of request for public ACTION: • Obligation to Respond: Required to the proper functions of the Department. comment. Obtain or Retain a Benefit. • Evaluate the accuracy of our We are soliciting public comments to estimate of the time and cost burden for SUMMARY: The Department of State is permit the Department to: this proposed collection, including the seeking Office of Management and • Evaluate whether the proposed validity of the methodology and Budget (OMB) approval for the information collection is necessary for assumptions used. information collection described below. asabaliauskas on DSK3SPTVN1PROD with NOTICES the proper functions of the Department. • Enhance the quality, utility, and In accordance with the Paperwork • Evaluate the accuracy of our clarity of the information to be Reduction Act of 1995, we are estimate of the time and cost burden for collected. requesting comments on this collection this proposed collection, including the • Minimize the reporting burden on from all interested individuals and validity of the methodology and those who are to respond, including the organizations. The purpose of this assumptions used. use of automated collection techniques notice is to allow 60 days for public • Enhance the quality, utility, and or other forms of information comment preceding submission of the clarity of the information to be technology. collection to OMB. collected. VerDate Sep<11>2014 18:02 Mar 24, 2017 Jkt 241001 PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 E:\FR\FM\27MRN1.SGM 27MRN1


Document Created: 2017-03-25 00:21:33
Document Modified: 2017-03-25 00:21:33
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of request for public comment.
DatesThe Department will accept comments from the public up to May 26, 2017.
ContactDirect 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 Citation82 FR 15266 
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