[Federal Register Volume 76, Number 178 (Wednesday, September 14, 2011)]
[Notices]
[Pages 56821-56822]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-23472]


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PEACE CORPS


Submission for OMB Review; Request for Comments

AGENCY: Peace Corps.

ACTION: 60-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 U.S.C. Chapter 35), the 
Peace Corps invites the general public to comment on the revision of a 
currently approved information collection OMB Control No. 0420-0510: 
Health History (PC-1789) and Report of Medical Examination (PC-1790 and 
PC-1790 S).

DATES: Comments must be submitted on or before November 14, 2011, 60 
days from publication in the Federal Register.

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: Health History (PC-1789) and Report of Medical Examination 
(PC-1790 and PC-1790 S).
    OMB Control Number: 0420-0510.
    Type of Information Collection: Revision of a currently approved 
information collection.
    Respondents' obligation to reply: Voluntary.
    Burden to the public: The revised Health History (PC-1789) is 
expected to average 30 minutes per Candidate: with an expected 10,000 
Candidates completing the form. This is a total average time burden 
cost of $95,050. We predict the Report of Medical Examinations (PC-1790 
S and PC-1790) would each take an average of 45 minutes with 3800 
Invitees required to undergo these exams (Candidates who have accepted 
an invitation to serve). Peace Corps is unable to accurately estimate 
how much of this expense will be borne by Candidates but we have made 
an estimate of about $228,800 for medical exams.
    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 Candidate completes the 
Health History Form (PC-1789) and submits it to the Peace Corps for a 
preliminary review of their health history and self identified needs 
for medical support. If a Candidate is invited to serve, the Candidate 
is sent a Report of Medical Examination (PC-1790 S) and a Report of 
Dental Evaluation (PC-1790 Dental S) form to be completed by the 
Candidate and the Candidate's examining physician and dentist. The 
Health History form and the Report of Medical and Dental Exam forms are 
reviewed in the Peace Corps

[[Page 56822]]

Office of Medical Services to ensure that the Candidate/Volunteer has 
the physical and mental capacity required of a Volunteer. At the Close 
of Service, a Volunteer is given a complete physical exam using Report 
of Medical Examination (PC-1790).
    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 September 7, 2011.
Earl W. Yates,
Associate Director, Management.
[FR Doc. 2011-23472 Filed 9-13-11; 8:45 am]
BILLING CODE 6051-01-P