[Federal Register Volume 67, Number 142 (Wednesday, July 24, 2002)]
[Notices]
[Pages 48500-48501]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-18724]


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DEPARTMENT OF STATE

[Public Notice 4070]


M/DGHR/MED/EX; 30-Day Notice of Proposed Information Collection: 
Form DS-1843, Medical History and Examination for Foreign Service--
Persons 12 Years and Over; Form DS-1622, Medical History and 
Examination for Foreign Service--For Children 11 Years and Under; OMB 
Number 1405-0068

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 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 current collection.

[[Page 48501]]

    Originating Office: Office of Medical Services, M/DGHR/MED.
    Title of Information Collection: Medical History and Examination 
for Foreign Service Persons 12 Years and Over; Medical History and 
Examination for Foreign Service--For Children 11 Years and Under.
    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 INFORMATION CONTACT: 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., U.S. 
Department of State, Washington, DC 20522, 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 7, 2002.
Maria C. Melchiorre,
Acting Executive Director, Office of Medical Services, Department of 
State.
[FR Doc. 02-18724 Filed 7-23-02; 8:45 am]
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