[Federal Register Volume 69, Number 70 (Monday, April 12, 2004)]
[Notices]
[Pages 19241-19243]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-8175]


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NATIONAL SCIENCE FOUNDATION


Agency Information Collection Activities: Comment Request

AGENCY: National Science Foundation.

ACTION: Submission for OMB review; comment request.

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SUMMARY: The National Science Foundation (NSF) has submitted the 
following information collection requirement to OMB for review and 
clearance under the Paperwork Reduction Act of 1995, Pub. L. 104-13. 
This is the second notice for public comment; the first was published 
in the Federal Register at 69 FR 5372, and no comments were received. 
NSF is forwarding the proposed renewal submission to the Office of 
Management and Budget (OMB) for clearance simultaneously with the 
publication of this second notice. Comments regarding (a) whether the 
collection of information

[[Page 19242]]

is necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility; (b) the 
accuracy of the agency's estimate of burden including the validity of 
the methodology and assumptions used; (c) ways to enhance the quality, 
utility and clarity of the information to be collected; (d) ways to 
minimize the burden of the collection of information on those who are 
to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology should be addressed to: Office of 
Information and Regulatory Affairs of OMB, Attention: Desk Officer for 
National Science Foundation, 725-17th Street, NW., Room 10235, 
Washington, DC 20503, and to Suzanne H. Plimpton, Reports Clearance 
Officer, National Science Foundation, 4201 Wilson Boulevard, Suite 295, 
Arlington, Virginia 22230 or send e-mail to [email protected]. Comments 
regarding these information collections are best assured of having 
their full effect if received within 30 days of this notification. 
Copies of the submission(s) may be obtained by calling (703) 292-7556.
    NSF may not conduct or sponsor a collection of information unless 
the collection of information displays a currently valid OMB control 
number and the agency informs potential persons who are to respond to 
the collection of information that such persons are not required to 
respond to the collection of information unless it displays a currently 
valid OMB control number.
    Title of Collection: Medical Clearance Process for Deployment to 
Antarctica.
    OMB Number: 3145-0177.
    Type of Request: Intent to seek approval to renew an information 
collection for three years.

Abstract

A. Proposed Project

    All individuals who anticipate deploying to Antarctica and to 
certain regions of the Arctic under the auspices of the United States 
Antarctic Program are required to take and pass a rigorous physical 
examination prior to deploying. The physical examination includes a 
medical history, medical examination, a dental examination and for 
those persons planning to winter over in Antarctica a psychological 
examination is also required. The requirement for this determination of 
physical status is found in 42 U.S.C. 1870 (Authority) and 62 FR 31522, 
June 10, 1997 (Source), unless otherwise noted. This part sets forth 
the procedures for medical screening to determine whether candidates 
for participation in the United States Antarctic (Page 216) Program 
(USAP) are physically qualified and psychologically adapted for 
assignment or travel to Antarctica. Medical screening examinations are 
necessary to determine the presence of any physical or psychological 
conditions that would threaten the health or safety of the candidate or 
other USAP participants or that could not be effectively treated by the 
limited medical care capabilities in Antarctica.
    (b) Presidential Memorandum No. 6646 (February 5, 1982) (available 
from the National Science Foundation, Office of Polar Programs, room 
755, 4201 Wilson Blvd., Arlington, VA 22230) sets forth the National 
Science Foundation's overall management responsibilities for the entire 
United States national program in Antarctica.

B. Use of the Information

    1. Form NSF-1420, National Science Foundation Polar Physical 
Examination--(Antarctica/Arctic/Official Visitors) Medical History, 
will be used by the individual to record the individual's family and 
personal medical histories. It is a five-page form that includes the 
individual's and the individual's emergency point-of-contact's name, 
address, and telephone numbers. It contains the individual's e-mail 
address, employment affiliation and dates and locations of current and 
previous polar deployments. It also includes a signed certification of 
the accuracy of the information and understandings of refusal to 
provide the information or providing false information. The agency's 
contractor's reviewing physician and medical staff complete the 
sections of the form that indicated when the documents were received 
and whether or not the person qualified for polar deployment, in which 
season qualified to deploy and where disqualified the reasons.
    2. Form NSF-1421, Polar Physical Examination--Antarctica/Arctic, 
will be used by the individual's physician to document specific medical 
examination results and the overall status of the individual's health. 
It is a two-page form which also provides for the signatures of both 
the patient and the examining physician, as well as contact information 
about the examining physician. Finally, it contains the name, address 
and telephone number of the agency's contractor that collects and 
retains the information.
    3. Form NSF-1422, National Science Foundation Polar Physical 
Examination (Antarctica/Arctic/Official Visitors) Medical History 
Interval Screening, will only be used by individuals who are under the 
age of 40 and who successfully took and passed a polar examination the 
previous season or not more than 24 months prior to current deployment 
date. It allows the otherwise healthy individual to update his or her 
medical data without having to take a physical examination every year 
as opposed to those over 40 years of age who must be examined annually.
    4. Form NSF-1423, Polar Dental Examination--Antarctica/Arctic/
Official Visitors, will be used by the examining dentist to document 
the status of the individual's teeth and to document when the 
individual was examined. It will also be used by the contractor's 
reviewing dentist to document whether or not the individual is dentally 
cleared to deploy to the polar regions.
    5. Medical Waivers: Any individual who is determined to be not 
physically qualified for polar deployment may request an administrative 
waiver of the medical screening criteria. This information includes 
signing a Request for Waiver that is notarized or otherwise legally 
acceptable in accordance with penalty of perjury statutes, obtaining an 
Employer Statement of Support. Individuals on a case-by-case basis may 
also be required to submit additional medical documentation and a 
letter from the individual's physician(s) regarding the individual's 
medical suitability for Antarctic deployment.
    6. Other information requested: In addition to the numbered forms 
and other information mentioned above, the USAP medical screening 
package includes the following:

--Medical Risks for NSF-Sponsored Personnel Traveling to Antarctica--
multi-copy form
--NSF Privacy Notice
--NSF Medical Screening for Blood-borne Pathogens/Consent for HIV 
Testing (multi-copy)
--NSF Authorization for Treatment of Field-Team Member/Participant 
Under the Age of 18 Years (multi-copy). This should only be sent to the 
individuals who are under 18 years of age.
--Dear Doctor and Dear Dentist letters, which provide specific 
laboratory and x-ray requirements, as well as other instructions.

    7. There are two other, non-medical forms included in the mailing:

--Personal Information Form--NSF Form Number 1424 includes a Privacy 
Act Notice. This form is used to collect information on current address 
and contact numbers, date and place

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of birth, nationality, citizenship, social security number, passport 
number, emergency point of contact information, travel dates, clothing 
sizes so that we may properly outfit those individuals who deploy, 
worksite information and prior deployment history.
--Participant Notification--Important Notice for Participants in the 
United States Antarctic Program. This form provides information on the 
laws, of the nations through which program participants must transit in 
route to Antarctica, regarding the transport, possession and use of 
illegal substances and the possibility of criminal prosecution if 
caught, tried and convicted.
    Estimate of Burden: Public reporting burden for this collection of 
information varies according to the overall health of the individual, 
the amount of research required to complete the forms, the time it 
takes to make an appointment, take the examination and schedule and 
complete any follow-up medical, dental or psychological requirements 
and the completeness of the forms submitted. The estimated time is up 
to six weeks from the time the individual receives the forms until he 
or she is notified by the contractor of their final clearance status. 
An additional period of up to eight weeks may be required for the 
individual who was disqualified to be notified of the disqualification, 
to request and receive the waiver packet, to obtain employer support 
and complete the waiver request, to do any follow-up testing, to return 
the waiver request to the contractor plus any follow-up information, 
for the contractor to get the completed packet to the National Science 
Foundation, for the NSF to make and promulgate a decision.
    Respondents: All individuals deploying to the Antarctic and certain 
Arctic areas under the auspices of the United States Antarctic Program 
must complete these forms. There are approximately 3,000 submissions 
per year, with a small percentage (c. 3%) under the age of 40 who 
provide annual submissions but with less information.
    Estimated Number of Responses per Form: Responses range from 2 to 
approximately 238 responses.
    Estimated Total Annual Burden on Respondents: 28,728 hours.
    Frequency of Responses: Individuals must complete the forms 
annually to be current within 12 months of their anticipated deployment 
dates. Depending on individual medical status some persons may require 
additional laboratory results to be current within two to six-weeks of 
anticipated deployment.
    Comments: Comments are invited on (a) whether the proposed 
collection of information is necessary for the proper performance of 
the functions of the Agency, including whether the information shall 
have practical utility; (b) the accuracy of the Agency's estimate of 
the burden of the proposed collection of information; (c) ways to 
enhance the quality, utility, and clarity of the information on 
respondents, including through the use of automated collection 
techniques or other forms of information technology; and (d) ways to 
minimize the burden of the collection of information on those who are 
to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology.

    Dated: April 6, 2004.
Suzanne H. Plimpton,
Reports Clearance Officer, National Science Foundation.
[FR Doc. 04-8175 Filed 4-9-04; 8:45 am]
BILLING CODE 7555-01-M