[Federal Register Volume 69, Number 174 (Thursday, September 9, 2004)]
[Notices]
[Pages 54623-54624]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-20382]


-----------------------------------------------------------------------

DEPARTMENT OF AGRICULTURE


Submission for OMB Review; Comment Request

September 2, 2004.
    The Department of Agriculture has submitted the following 
information collection requirement(s) to OMB for review and clearance 
under the Paperwork Reduction Act of 1995, Public Law 104-13. Comments 
regarding (a) Whether the collection of information 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: Desk 
Officer for Agriculture, Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB), [email protected] or fax (202) 395-5806 and to Departmental 
Clearance Office, USDA, OCIO, Mail Stop 7602, Washington, DC 20250-
7602. 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 
(202) 720-8681.
    An agency 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.

Forest Service

    Title: Health Screening Questionnaire.
    OMB Control Number: 0596-0164.
    Summary of Collection: The Protection Act of 1922 (16 U.S.C. 594) 
authorizes the Forest Service (FS) to fight fires on National Forest 
System lands. Potential applicants or recertification of firefighters 
seeking employment are to complete forms FS-5100-30, Work Capacity Test 
and FS-5100-31, Health Screening Questionnaire, which are necessary to

[[Page 54624]]

obtain their health screening information.
    Need and Use of the Information: FS will collect information to 
determine whether an individual being considered for a position in 
Wildland Firefighting can carry out those duties in a manner that will 
not place the candidate unduly at risk due to inadequate physical 
fitness and health.
    Description of Respondents: Individuals or households; Federal 
Government.
    Number of Respondents: 15,000.
    Frequency of Responses: Reporting: Annually.
    Total Burden Hours: 1,250.

Sondra Blakey,
Departmental Information Collection Clearance Officer.
[FR Doc. 04-20382 Filed 9-8-04; 8:45 am]
BILLING CODE 3410-11-P