82_FR_15324 82 FR 15267 - 60-Day Notice of Proposed Information Collection: Overseas Pre-Assignment Medical History and Examination, Non-Foreign Service Personnel and Their Family Members

82 FR 15267 - 60-Day Notice of Proposed Information Collection: Overseas Pre-Assignment Medical History and Examination, Non-Foreign Service Personnel and Their Family Members

DEPARTMENT OF STATE

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

Page Range15267-15268
FR Document2017-05951

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 15267-15268]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-05951]


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DEPARTMENT OF STATE

[Public Notice: 9786]


60-Day Notice of Proposed Information Collection: Overseas Pre-
Assignment Medical History and Examination, Non-Foreign Service 
Personnel and Their Family Members

ACTION: Notice of request for public comment.

-----------------------------------------------------------------------

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 search for the 
document by entering ``Docket Number: DOS-2016-0074'' in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
form.
     Email: [email protected].
     Regular Mail: Send written comments to: Department of 
State, 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: Overseas Pre-Assignment 
Medical History and Examination, Non-Foreign Service Personnel and 
Their Family Members.
     OMB Control Number: 1405-0194.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services--Medical 
Clearances.
     Form Number: DS-6561.
     Respondents: Non-foreign service employees or family 
members.
     Estimated Number of Respondents: 9,890.
     Estimated Number of Responses: 9,890.
     Average Time per Response: 1 hour.
     Total Estimated Burden Time: 9,890 hours.
     Frequency: 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.

[[Page 15268]]

     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: Form DS-6561 is designed to 
succinctly collect appropriate and current medical information about an 
individual in order for a medical provider to make a determination as 
to whether a federal employee or contractor or eligible family member 
will have sufficient medical and educational resources at a diplomatic 
mission abroad to maintain the health and safety of the individual or 
family member. It is designed for all non-Foreign Affairs Agency 
employees, or their eligible family members.
    Methodology: The information collected 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. 2017-05951 Filed 3-24-17; 8:45 am]
 BILLING CODE 4710-36-P

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

15268 Federal Register / Vol. 82, No. 57 / Monday, March 27, 2017 / Notices • Minimize the reporting burden on SUPPLEMENTARY INFORMATION: In County, Pa. Renewal of surface water those who are to respond, including the addition to the actions taken on projects withdrawal of up to 0.231 mgd (peak use of automated collection techniques identified in the summary above and the day) (Docket No. 20121222). or other forms of information listings below, the following items were 7. Project Sponsor and Facility: Silver technology. also presented or acted upon at the Springs Ranch, LLC, Monroe Township, Please note that comments submitted in business meeting: (1) Adoption of a Wyoming County, Pa. Consumptive response to this Notice are public budget for the 2018 fiscal year; (2) water use of up to 0.087 mgd (peak day). record. Before including any detailed approval/ratification of two grant 8. Project Sponsor and Facility: Silver personal information, you should be agreements; (3) adoption of a resolution Springs Ranch, LLC, Monroe Township, aware that your comments as submitted, setting a five-year docket term for Wyoming County, Pa. Groundwater including your personal information, withdrawals related to unconventional withdrawal of up to 0.088 mgd (30-day will be available for public review. natural gas under the discretion average) from Borehole 1 (BH–1). Abstract of Proposed Collection: Form provided in 18 CFR 806.31(a); and (4) a 9. Project Sponsor: SUEZ Water DS–6561 is designed to succinctly report on delegated settlements with the Pennsylvania Inc. Project Facility: collect appropriate and current medical following project sponsors, pursuant to Dallas Operation, Dallas Township, information about an individual in SRBC Resolution 2014–15: Talen Energy Luzerne County, Pa. Modification to order for a medical provider to make a Corp./Susquehanna Nuclear, in the remove pumping restriction for March determination as to whether a federal amount of $9,000; Sugar Hollow Trout and April for previously approved employee or contractor or eligible Park and Hatchery, in the amount of groundwater withdrawal (Docket No. family member will have sufficient $2,000; Mount Nittany Medical Center, 20050301). medical and educational resources at a in the amount of $8,993.75; Toggenburg 10. Project Sponsor and Facility: diplomatic mission abroad to maintain Mountain Winter Sports Center, in the SWEPI LP (Pine Creek), Pike Township, the health and safety of the individual amount of $3,500; and Moxie Freedom Potter County, Pa. Renewal of surface or family member. It is designed for all LLC, in the amount of $8,500. water withdrawal of up to 0.936 mgd non-Foreign Affairs Agency employees, Project Applications Approved (peak day) (Docket No. 20130313). or their eligible family members. 11. Project Sponsor and Facility: Methodology: The information The Commission approved the following project applications: Repsol Oil & Gas USA, LLC (formerly collected will be collected through the Talisman Energy USA Inc.) (Sugar use of an electronic forms engine or by 1. Project Sponsor and Facility: Creek), West Burlington Township, hand written submission using a pre- Anadarko E&P Onshore LLC (West Bradford County, Pa. Renewal of surface printed form. Branch Susquehanna River), Nippenose water withdrawal of up to 0.750 mgd Township, Lycoming County, Pa. Behzad Shahbazian, (peak day) (Docket No. 20130310). Renewal of surface water withdrawal of Director of Clinical Services, Bureau of 12. Project Sponsor and Facility: West up to 0.720 mgd (peak day) (Docket No. Medical Services, Department of State. 20130301). Manchester Township Authority, West [FR Doc. 2017–05951 Filed 3–24–17; 8:45 am] 2. Project Sponsor and Facility: Cabot Manchester Township, York County, Pa. BILLING CODE 4710–36–P Oil & Gas Corporation (Meshoppen Reactivation of a previously approved Creek), Lemon Township, Wyoming groundwater withdrawal at a reduced County, Pa. Renewal of surface water rate of up to 0.183 mgd (30-day average) SUSQUEHANNA RIVER BASIN withdrawal of up to 0.500 mgd (peak from Well 7. COMMISSION day) (Docket No. 20121202). 13. Project Sponsor and Facility: York 3. Project Sponsor and Facility: County Solid Waste and Refuse Actions Taken at March 9, 2017, Crossgates Golf Course, Manor Authority, Manchester Township, York Meeting Township and Millersville Borough, County, Pa. Renewal of consumptive Lancaster County, Pa. Renewal of water use of up to 0.999 mgd (peak day) AGENCY: Susquehanna River Basin and addition of collected stormwater as consumptive water use of up to 0.300 Commission. an approved source for consumptive use mgd (peak day) (Docket No. 19910515). ACTION: Notice. 4. Project Sponsor and Facility: (Docket No. 19860902). SUMMARY: As part of its regular business Crossgates Golf Course (Conestoga Project Applications Tabled meeting held on March 9, 2017, in River), Manor Township and Millersville Borough, Lancaster County, The Commission tabled action on the Scranton, Pennsylvania, the Pa. Renewal of surface water following project applications: Commission took the following actions: withdrawal of up to 0.300 mgd (peak 1. Project Sponsor and Facility: DS (1) Approved or tabled the applications day) (Docket No. 19910515). Services of America, Inc., Clay of certain water resources projects; and 5. Project Sponsor: Pennsylvania Township, Lancaster County, Pa. (2) took additional actions, as set forth Department of Environmental Application for groundwater in the SUPPLEMENTARY INFORMATION Protection—South-central Regional withdrawal of up to 0.028 mgd (30-day below. Office, City of Harrisburg, Dauphin average) from existing Well 4. DATES: March 9, 2017. County, Pa. Facility Location: Leacock 2. Project Sponsor and Facility: DS ADDRESSES: Susquehanna River Basin Township, Lancaster County, Pa. Services of America, Inc., Clay Commission, 4423 N. Front Street, Groundwater withdrawal of up to 0.020 Township, Lancaster County, Pa. asabaliauskas on DSK3SPTVN1PROD with NOTICES Harrisburg, Pa.17110–1788. mgd (peak day) and emergency or Application for groundwater FOR FURTHER INFORMATION CONTACT: backup groundwater withdrawal of up withdrawal of up to 0.042 mgd (30-day Jason E. Oyler, General Counsel, to 0.173 mgd (peak day) from Hollander average) from existing Well 5. telephone: (717) 238–0423, ext. 1312; Well. 3. Project Sponsor: King Valley Golf fax: (717) 238–2436; email: joyler@ 6. Project Sponsor and Facility: Club, Inc. Project Facility: King Valley srbc.net. Regular mail inquiries may be Pennsylvania General Energy Company, Golf Course (Boiling Springs Run), sent to the above address. See also L.L.C. (First Fork Sinnemahoning Kimmel Township, Bedford County, Pa. Commission Web site at www.srbc.net. Creek), Wharton Township, Potter Application for surface water VerDate Sep<11>2014 18:02 Mar 24, 2017 Jkt 241001 PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 E:\FR\FM\27MRN1.SGM 27MRN1


Document Created: 2017-03-25 00:21:30
Document Modified: 2017-03-25 00:21:30
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 15267 
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