[Federal Register Volume 76, Number 59 (Monday, March 28, 2011)]
[Notices]
[Pages 17164-17165]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-7201]


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PEACE CORPS


Notice of Request for a Revision of a Currently Approved 
Information Collection and Request for a New OMB Control Number

ACTION: 60-day notice and request for comments.

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[[Page 17165]]

SUMMARY: The Peace Corps will be submitting the following information 
collection requests to the Office of Management and Budget (OMB) for 
Revision of a currently approved information collection. In compliance 
with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35), the 
Peace Corps invites the general public to comment on the extension, 
with change, of currently approved information collection, Peace Corps 
Volunter Medical Application Health Status Review (OMB 0420-0510) which 
consists of three forms: The Health Status Review form (PC 1789); the 
Report of Medical Exam (PC 1790 S); and, Dental Exam (PC 1790). The 
Peace Corps wants to remove the Dental Exam (PC 1790) from OMB 0420-
0510 and request a new OMB Control Number for Dental Exam (PC 1790). 
This process is conducted in accordance with 5 CFR 1320.10.

DATES: Comments must be submitted on or before May 27, 2011.

ADDRESSES: Comments should be addressed to Denora Miller, Freedom of 
Information Act Officer. Denora Miller can be contacted by telephone at 
202-692-1236 or e-mail at [email protected]. E-mail comments must be 
made in text and not in attachments.

FOR FURTHER INFORMATION CONTACT: Denora Miller at Peace Corps address 
above.

SUPPLEMENTARY INFORMATION:
    Title: Peace Corps Volunter Medical Application Health Status 
Review which consists of three forms: the Health Status Review form (PC 
1789); the Report of Medical Exam (PC 1790 S); and, the Dental Exam (PC 
1790).
    OMB Control Number: 0420-0510.
    Type of Request: Revision of a currently approved information 
collection. Peace Corps seeks to remove the Dental Exam (PC 1790) from 
this collection.
    Respondents: Potential and current volunteers.

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                                    Health status review (PC     Report of  medical         Report of  dental
                                              1789)            evaluation (PC 1790 S)     evaluation (PC 1790)
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a. Estimated number of respondents  9,700                     5,000                     5,000.
b. Estimated average burden per     45 minutes                45 minutes                45 minutes.
 response.
c. Frequency of response..........  One time                  One time                  One time.
d. Annual reporting burden........  7,275 hours               3,750 hours               3,750 hours.
e. Estimated annual cost to         $175,546                  $90,488                   $90,488.
 respondents.
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    General description of collection: The Peace Corps Act requires 
that Volunteers receive health examinations prior to their service. The 
information collected is required for consideration for Peace Corps 
Volunteer service. The Health Status Review is used to review the 
medical history of individual applicants. The Report of Medical Exam 
and the Report of Dental Exam are used by the examining physician and 
dentist both for applicants and for currently serving Volunteers. The 
results of these examinations are used to ensure that applicants for 
Volunteer service will, with reasonable accommodation, be able to serve 
in the Peace Corps without jeopardizing their health.
    Request for Comment: Peace Corps invites comments on whether the 
proposed collections of information are necessary for proper 
performance of the functions of the Peace Corps, including whether the 
information will have practical use; the accuracy of the agency's 
estimate of the burden of the proposed collection of information, 
including the validity of the information to be collected; and, ways to 
minimize the burden of the collection of information on those who are 
to respond, including through the use of automated collection 
techniques, when appropriate, and other forms of information 
technology.

    This notice is issued in Washington, DC on March 21, 2011.
Garry W. Stanberry,
Deputy Associate Director, Management.
[FR Doc. 2011-7201 Filed 3-25-11; 8:45 am]
BILLING CODE 6051-01-P