60-Day Notice of Proposed Information Collection: Medical Clearance Update Form
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 ...
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 September 28, 2026.
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-2026-0826” in the Search field. Then click the “Comment Now” button and complete the comment form.
Regular Mail:
Medical Director, Office of Medical Clearances, Bureau of Medical Services, 2401 E Street NW, SA-1, Room L-101, Washington, DC 20522-0101.
Fax:
202-647-0292, Attention: Medical Clearance Director.
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 Jessica Martinez, Director of Medical Clearances, who may be reached on (202) 663-1657 or at
MartinezJA7@state.gov.
SUPPLEMENTARY INFORMATION:
Title of Information Collection:
Medical Clearance Update Form.
OMB Control Number:
1405-0131.
Type of Request:
Revision of a Currently Approved Collection.
Originating Office:
Bureau of Medical Services, Office of Medical Clearances MED/CP/CS/CL.
Form Number:
DS-3057.
Respondents:
Chief of Mission personnel and eligible family members.
Estimated Number of Respondents:
8,782.
Estimated Number of Responses:
8,782.
Average Time per Response:
30 Minutes.
Total Estimated Burden Time:
4,391 Hours.
Frequency:
Every change in station/new assignment, or 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
The information requested on the DS-3057 is required for professional medical staff of the Bureau of Medical Services to make decisions on the type of medical clearance an individual and family members are assigned. Under the authority of the Foreign Service Act of 1980 (22 U.S.C. 3901) and the Basic Authorities Act of 1956 (22 U.S.C. 2651), the Secretary has the ability to establish a medical program. As specified in 16 FAM 201.1, the medical program provides medical examinations for applicants for employment and medical examinations as necessary for members of the Foreign Service and employees of the Department and their eligible family members. The Medical Clearance Program ensures that all members of the Foreign Service, other Department employees, other Agency employees through the ICASS program, and their eligible family members have appropriate medical facilities abroad for any underlying medical conditions. Following their initial medical clearance, respondents will use a DS-3057 to maintain medical clearance validity throughout their employment under Chief of Mission.
Methodology
The information will be collected digitally by the respondent via MED's new online portal system, myMED, within the MED Provider Portal (MPP) application. Identification verification and two-factor authentication will be a requirement to access the online system where the respondent with will complete the DS-3057 questions for themselves and any children ages seventeen and younger. Adults eighteen and older will have their own account to complete their personal medical clearance review. Once complete, the answers to the DS-3057 will be submitted to the Office of Medical Clearances for the review to be completed via the secure online portal system.
Jessica A. Martinez,
Director of Medical Clearances, Bureau of Medical Services, Department of State.
Use this for formal legal and research references to the published document.
91 FR 47297
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the document.
“60-Day Notice of Proposed Information Collection: Medical Clearance Update Form,” thefederalregister.org (July 28, 2026), https://thefederalregister.org/documents/2026-15208/60-day-notice-of-proposed-information-collection-medical-clearance-update-form.