[Federal Register Volume 78, Number 159 (Friday, August 16, 2013)]
[Notices]
[Pages 50136-50137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-20127]


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DEPARTMENT OF STATE

[Public Notice 8421]


Notice of Information Collection Under Emergency Review: Medical 
History and Examination for Foreign Service DS-1843 and DS-1622

ACTION: Notice of request for emergency OMB approval.

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SUMMARY: The Department of State has submitted the information 
collection request described below to the Office of Management and 
Budget (OMB) for review and approval in accordance with the emergency 
review procedures of the Paperwork Reduction Act of 1995. The purpose 
of this notice is to allow for public comment from all interested 
individuals and organizations. Emergency review and approval of this 
collection has been requested from OMB immediately. If granted, the 
emergency approval is only valid for 180 days.

ADDRESSES: Direct any comments on this emergency request to the 
Department of State Desk Officer in the Office of Information and 
Regulatory Affairs at the Office of Management and Budget (OMB).
    You may submit comments to OMB by the following methods:
     Email: [email protected]. You must include the 
DS form number, information collection title, and OMB control number in 
the subject line of your message.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

DATES:  During the first 60 days of the emergency approval period, a 
regular review of this information collection is also being undertaken. 
The Department of State requests written comments and suggestions from 
the public and affected agencies concerning this proposed collection of 
information. The Department will accept comments up to October 15, 
2013.

ADDRESSES: You may submit comments by any of the following methods:
     Web: Persons with access to the Internet may use the 
Federal Docket Management System (FDMS) to comment on this notice by 
going to www.Regulations.gov. You can search for the document by 
entering ``Public Notice 8421'' in the Search bar. If necessary, use 
the Narrow by Agency filter option on the Results page.
     Email: [email protected].
     Mail: U.S. Department of State, Office of Medical 
Services, Medical Clearance Section, SA-1 Room L-201, 2401 E Street 
NW., Washington, DC 20522-0101.
    You must include the DS form number (if applicable), information 
collection title, and OMB control number in any correspondence.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, to Susan B. Summers, Chief of Medical Clearances, 
SA-15A, who may be reached on 703-875-5413 or [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Medical History and 
Examination for Foreign Service.
     OMB Control Number: 1405-0068.
     Type of Request: Emergency Review.
     Originating Office: M/MED/MC.
     Form Number: DS-1843, DS-1622.
     Respondents: Foreign Service candidates who have been 
given provisional offers of employment and other individuals who 
participate in the Department of State's Medical Program.
     Estimated Number of Respondents: 23,245.
     Estimated Number of Responses: 23,245.
     Average Time per Response: 1 Hour.
     Total Estimated Burden Time: 23,245 Hours.
     Frequency: Once after conditional offer of employment, 
and, during the employment of the member of the Foreign Service, at 
intervals between assignments abroad.
     Obligation to respond: Mandatory.
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden of this 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 
information technology.
    Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.
    Abstract of proposed collection:
    Pursuant to the Foreign Service Act of 1980, as amended, the 
Secretary of State

[[Page 50137]]

has the authority to establish a Medical Program, and the information 
at issue is collected in accordance with 22 U.S.C. 4084, 3901, and 
3984. The information collected in Form DS-1843 is needed to determine 
whether a candidate for a Foreign Service appointment can obtain the 
medical clearance that is a requirement of the appointment. 
Additionally, the information collected in Form DS-1843 and Form DS-
1622 is used to provide and to update medical clearances for 
individuals who participate in the Medical Program.
    Methodology:
    After the individual and his or her health care provider complete 
the form, it can be faxed or scanned and emailed to [email protected].

    Dated: August 6, 2013.
 Susan B. Summers,
Chief Medical Clearance Section, Office of Medical Services, Department 
of State.
[FR Doc. 2013-20127 Filed 8-15-13; 8:45 am]
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