[Federal Register Volume 76, Number 110 (Wednesday, June 8, 2011)]
[Notices]
[Pages 33374-33375]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-14222]


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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: 30-day notice and request for comments.

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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 USC 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 
consist 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 regarding this collection must be received on or before 
July 8, 2011.

ADDRESSES: Interested persons are invited to submit comments regarding 
this proposal. Comments should refer to the proposal by name/or OMB 
approval number and should be sent via e-mail to: [email protected] or fax to: 202-395-3086. Attention: Desk Officer 
for Peace Corps.

FOR FURTHER INFORMATION CONTACT: Denora Miller, FOIA Officer, Peace 
Corps, 1111 20th Street, NW., Washington, DC 20526, (202) 692-1236, or 
e-mail at pcfr@mailto:[email protected]. Copies of 
available documents submitted to OMB may be obtained from Denora 
Miller.

SUPPLEMENTARY INFORMATION:
    Title: Peace Corps Volunter Medical Application Health Status 
Review which consist of three forms: The Health Status Review form (PC 
1789); the Report of Medical Exam (PC 1790 S); and, the Dental Exam (PC 
1790).

[[Page 33375]]

    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.
    Burden to the Public:

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                                         Health Status Review      Report of Medical         Report of Dental
                                              (PC 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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    Needs and Uses: 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.

    This notice is issued in Washington, DC on May 31, 2011.
Earl W. Yates,
Associate Director, Management.
[FR Doc. 2011-14222 Filed 6-7-11; 8:45 am]
BILLING CODE 6051-01-P