[Federal Register Volume 73, Number 161 (Tuesday, August 19, 2008)]
[Notices]
[Page 48426]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-19157]
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DEPARTMENT OF STATE
[Public Notice 6323]
30-Day Notice of Proposed Information Collection: Form DS-3057,
Medical Clearance Update, OMB 1405-0131
ACTION: Notice of request for public comments and submission to OMB of
proposed collection of information.
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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.
Title of Information Collection: Medical Clearance Update.
OMB Control Number: 1405-0131.
Type of Request: Extension of Currently Approved
Collection.
Originating Office: Office of Medical Services, M/MED/C/
MC.
Form Number: DS-3057.
Respondents: Foreign Service Officers, State Department
Employees, Other Government Employees and Family Members.
Estimated Number of Respondents: 9,800 per year.
Average Hours per Response: 0.5 hours per response.
Total Estimated Burden: 4,900 hours.
Frequency: On occasion.
Obligation to Respond: Mandatory.
DATES: The Department will accept comments from the public up to 30
days from September 18, 2008.
ADDRESSES: Direct comments and questions to Katherine Astrich, the
Department of State Desk Officer in the Office of Information and
Regulatory Affairs at the Office of Management and Budget (OMB), who
may be reached at 202-395-4718. You may submit comments by any of the
following methods:
E-mail: [email protected]. You must include the DS form
number, information collection title, and OMB control number in the
subject line of your message.
Mail (paper, disk, or CD-ROM submissions): Office of
Information and Regulatory Affairs, Office of Management and Budget,
725 17th Street, NW., Washington, DC 20503.
Fax: 202-395-6974
FOR FURTHER INFORMATION CONTACT: You may obtain copies of the proposed
information collection and supporting documents from Ermie D. Herring,
Department of State, Office of Medical Services, SA-1 Columbia Plaza
Room L101, 2401 E St., NW., Washington DC, 20052-0101, who may be
reached on 202-663-1229 or [email protected].
SUPPLEMENTARY INFORMATION:
We are soliciting public comments to permit the Department to:
Evaluate whether the proposed information collection is
necessary for the proper performance of our functions.
Evaluate the accuracy of our estimate of the burden of the
proposed 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 the use of automated collection techniques or other forms of
technology.
Abstract of Proposed Collection
Form DS-3057 is designed to collect medical information to provide
medical providers with current and adequate information to base
decisions on whether a federal employee and family members will have
sufficient medical resources at a diplomatic mission abroad to maintain
the health and fitness of the individual and family members.
Methodology
The information collected will be collected through the use of an
electronic forms engine or by hand written submission using a pre-
printed form.
Dated: August 12, 2008.
Sharon Ludan,
Executive Director, Office of Medical Services, Department of State.
[FR Doc. E8-19157 Filed 8-18-08; 8:45 am]
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