[Federal Register Volume 59, Number 163 (Wednesday, August 24, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-20732]

[[Page Unknown]]

[Federal Register: August 24, 1994]




Agency Information Collection Activities Under OMB Review

agency: Peace Corps.

action: Notice of submission of public use form review request to the 
Office of Management and Budget.


summary: Pursuant to the Paperwork Reduction Act of 1981 (44 U.S.C. 
Chapter 35), the Peace Corps has submitted to the Office of Management 
and Budget, a request to approve the use of the Medical History and 
Examination Forms through July 30, 1997. All applicants for service in 
the Peace Corps must undergo physical and dental examinations prior to 
service. The results of these examinations are used to ensure that the 
applicants will, with reasonable accommodation, be able to serve in 
Peace Corps without jeopardizing their health. The Peace Corps Office 
of Medical Services (VS/MS) is responsible for the collections and 
review of applicant medical information.

Information About the Forms

    Agency Address: Peace Corps, 1990 K Street, NW., Washington, DC 
    Title: Medical History and Examination Forms.
    Type of Request: Approval of Use.
    Frequency of Collection: One time per respondent.
    Description of Respondent: All individuals who are nominated and/or 
invited for Peace Corps Service and their physicians.
    Estimated Number of Hours for Respondents to Furnish Information: 
22.5 minutes each (average of 30 minutes for Medical Examination 
Section and 15 minutes for Medical History Section).
    Respondent's Obligation to Reply: Required for entrance into the 
Peace Corps.
    Comments: Telephone comments on this proposal should be directed to 
Jeff Hill, Desk Officer, Office of Information and Regulatory Affairs, 
Office of Management and Budget, Washington, D.C. Mr. Hill may be 
called at (202) 395-7340. A copy of the form may be obtained from David 
Gootnick, M.D., Office of Medical Services, Peace Corps, 1990 K Street, 
NW, Washington, DC 20526. Dr. Gootnick may be called at (202) 606-3512.

    This is not a request to which 44 U.S.C. 3504(h) applies. This 
notice is issued in Washington, DC, on August 18, 1994.
Carol Lemon,
Acting Director, Office of Administrative Services.
[FR Doc. 94-20732 Filed 8-23-94; 8:45 am]