[Federal Register Volume 72, Number 191 (Wednesday, October 3, 2007)]
[Notices]
[Pages 56357-56358]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-19533]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0990-New; 30-Day Notice]


Agency Information Collection Request; 30-Day Public Comment 
Request

    Agency: Office of the Secretary, HHS.

    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.
    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 on (202) 690-6162. Written comments and 
recommendations for the proposed information collections must be 
received within 30 days of this notice directly to the OS OMB Desk 
Officer all comments must be faxed to OMB at 202-395-6974.

[[Page 56358]]

    Title of the Collection--(New)--OMB No. 0990-NEW--Report of Medical 
Examination and History.
    Abstract: 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. This 
is a one-time survey.

                                        Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
                                                                     Number of        Average
                      Forms                          Number of     responses per   burden hours    Total burden
                                                    respondents     respondent     per response        hours
----------------------------------------------------------------------------------------------------------------
PHS-7059........................................           4,000               1           15/60            1000
PHS-7060........................................           4,000               1           15/60            1000
PHS-7053........................................             800               1            6/60              80
PHS-7054........................................            1320               1            6/60             132
PHS-7055........................................            2800               1            7/60             327
PHS-7056........................................            1600               1            7/60             187
PHS-7057........................................             600               1            5/60              50
PHS-7061........................................            2000               1           10/60             334
                                                 ---------------------------------------------------------------
    Total.......................................          17,120  ..............  ..............           3,110
----------------------------------------------------------------------------------------------------------------


    Dated: September 18, 2007.
Alice Bettencourt,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. E7-19533 Filed 10-2-07; 8:45 am]
BILLING CODE 4150-28-P