[Federal Register Volume 66, Number 152 (Tuesday, August 7, 2001)]
[Notices]
[Page 41290]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-19774]


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DEPARTMENT OF STATE

[Public Notice: 3709]


30-Day Notice of Proposed Information Collection: Medical History 
and Examination for Foreign Service (OMB# 1405-0068, Department Form 
Numbers DS-1622 and DS-1843)

ACTION: Notice.

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SUMMARY: The Department of State has submitted the following 
information collection request to the Office of Management and Budget 
(OMB) for review and approval in accordance with the Paperwork 
Reduction Act of 1995. Comments should be submitted to OMB within 30 
days of the publication of this notice.
    The following summarizes the information collection proposal 
submitted to OMB:
    Type of Request: Extension of a currently approved collection.
    Originating Office: Office of Medical Services, M/DGHR/MED.
    Title of Information Collection: Medical History and Examination 
for Foreign Service.
    Frequency: Biennially.
    Form Numbers: DS-1843 and DS-1622.
    Respondents: Candidates for Foreign Service Positions and their 
Eligible Family Members.
    Estimated Number of Respondents: 12,000.
    Average Hours Per Response: One Hour.
    Total Estimated Burden: 12,000.
    Public comments are being solicited to permit the agency to:
     Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility.
     Evaluate the accuracy of the agency's estimate of the 
burden of the 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 through the use of automated collection techniques or other 
forms of technology.

FOR FURTHER ADDITIONAL INFORMATION: Copies of the proposed information 
collection and supporting documents may be obtained from John A 
Triplett, M.D., Office of Medical Services, 2401 E Street, NW., Room 
201, U.S. Department of State, Washington, DC, telephone (202) 663-
1680. Public comments and questions should be directed to the State 
Department Desk Officer, Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB), Washington, DC 20530, who may be 
reached on (202) 395-3897.

    Dated: July 2, 2001.
Gary R. Alexander,
Executive Director, Office of Medical Services, United States 
Department of State.
[FR Doc. 01-19774 Filed 8-6-01; 8:45 am]
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