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Notice

30-Day Notice of Proposed Information Collection: Form DS-3057, Medical Clearance Update, OMB 1405-0131

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Information about this document as published in the Federal Register.

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This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

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ACTION:

Notice of request for public comments and submission to OMB of proposed collection of information.

SUMMARY:

The Department of State has submitted the following information collection request to the Office of Management and Budget (OMB) for approval in accordance with the Paperwork Reduction Act of 1995.

  • Title of Information Collection: Medical Clearance Update.
  • OMB Control Number: 1405-0131.
  • Type of Request: Extension of Currently Approved Collection.
  • Originating Office: Office of Medical Services, M/MED/C/MC.
  • Form Number: DS-3057.
  • Respondents: Foreign Service Officers, State Department Employees, Other Government Employees and Family Members.
  • Estimated Number of Respondents: 9,800 per year.
  • Average Hours per Response: 0.5 hours per response.
  • Total Estimated Burden: 4,900 hours.
  • Frequency: On occasion.
  • Obligation to Respond: Mandatory.

DATES:

The Department will accept comments from the public up to 30 days from September 18, 2008.

ADDRESSES:

Direct comments and questions to Katherine Astrich, the Department of State Desk Officer in the Office of Information and Regulatory Affairs at the Office of Management and Budget (OMB), who may be reached at 202-395-4718. You may submit comments by any of the following methods:

  • E-mail: kastrich@omb.eop.gov. You must include the DS form number, information collection title, and OMB control number in the subject line of your message.
  • Mail (paper, disk, or CD-ROM submissions): Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW., Washington, DC 20503.
  • Fax: 202-395-6974
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FOR FURTHER INFORMATION CONTACT:

You may obtain copies of the proposed information collection and supporting documents from Ermie D. Herring, Department of State, Office of Medical Services, SA-1 Columbia Plaza Room L101, 2401 E St., NW., Washington DC, 20052-0101, who may be reached on 202-663-1229 or herringED@state.gov.

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SUPPLEMENTARY INFORMATION:

We are soliciting public comments to permit the Department to:

  • Evaluate whether the proposed information collection is necessary for the proper performance of our functions.
  • Evaluate the accuracy of our estimate of the burden of the 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 technology.

Abstract of Proposed Collection

Form DS-3057 is designed to collect medical information to provide medical providers with current and adequate information to base decisions on whether a federal employee and family members will have sufficient medical resources at a diplomatic mission abroad to maintain the health and fitness of the individual and 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.

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Dated: August 12, 2008.

Sharon Ludan,

Executive Director, Office of Medical Services, Department of State.

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[FR Doc. E8-19157 Filed 8-18-08; 8:45 am]

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