[Federal Register Volume 72, Number 140 (Monday, July 23, 2007)]
[Notices]
[Page 40154]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-14104]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-0000; 60-day notice]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Office of the Secretary.

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Office of the Secretary (OS), 
Department of Health and Human Services, is publishing the following 
summary of a proposed collection for public comment. Interested persons 
are invited to send comments regarding this burden estimate or any 
other aspect of this collection of information, including any of the 
following subjects: (1) The necessity and utility of the proposed 
information collection for the proper performance of the agency's 
functions; (2) the accuracy of the estimated burden; (3) ways to 
enhance the quality, utility, and clarity of the information to be 
collected; and (4) the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.
    Type of Information Collection Request: New.
    Title of Information Collection: Report of Medical Examination)--
Form PHS-7059.
    Form/OMB No.: 0990-0000.
    Use: Health professionals applying to the Commissioned Corps of the 
U.S. Public Health Service (Corps) must be medically qualified prior to 
appointment. Applicants must have a healthcare provider/physician 
complete form PHS-7059, Report of Medical Examination, documenting the 
health status of the applicant. The Corps Medical Evaluations Officer 
will review the information to ascertain if the applicant is medically 
qualified presently and in the near future.
    Frequency: One time.
    Affected Public: Individuals or Households.
    Annual Number of Respondents: 4,000.
    Total Annual Responses: 4,000.
    Average Burden per Response: 15 minutes.
    Total Annual Hours: 1,000 hours.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, e-mail your 
request, including your address, phone number, OMB number, and OS 
document identifier, to [email protected], or call the 
Reports Clearance Office at (202) 690-6162. Written comments and 
recommendations for the proposed information collections must be 
received with 60 days, and directed to the OS Paperwork Clearance 
Officer at the following address: Department of Health and Human 
Services, Office of the Secretary, Assistant Secretary for Resources 
and Technology, Office of Resources Management, Attention: Sherrette 
Funn-Coleman (0990-0000), Room 537-H, 200 Independence Avenue, SW., 
Washington DC 20201.

    Dated: July 11, 2007.
Seleda Perryman,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
 [FR Doc. E7-14104 Filed 7-20-07; 8:45 am]
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