[Federal Register Volume 78, Number 209 (Tuesday, October 29, 2013)]
[Notices]
[Page 64574]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-25619]


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DEPARTMENT OF STATE

[Public Notice 8506]


60-Day Notice of Proposed Information Collection: Form DS-3057, 
Medical Clearance Update

ACTION: Notice of request for public comment.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
In accordance with the Paperwork Reduction Act of 1995, we are 
requesting comments on this collection from all interested individuals 
and organizations. The purpose of this notice is to allow 60 days for 
public comment preceding submission of the collection to OMB.

DATES: The Department will accept comments from the public up to 
December 30, 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 8506'' in the Search bar. If necessary, use 
the Narrow by Agency filter option on the Results page.
     Email: [email protected].
     Mail: Department of State, Office of Medical Clearances, 
SA-15 Room 400, 1800 North Kent St., Rosslyn, VA 22209.
     Fax: 703-875-4850.
    You must include the DS form number (if applicable), information 
collection title, and the 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, who may be reached on 703-
875-5411 or at [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Medical Clearance Update.
     OMB Control Number: 1405-0131.
     Type of Request: Extension of a Currently Approved 
Collection.
     Originating Office: Office of Medical Services--Medical 
Clearances.
     Form Number: DS 3057.
     Respondents: Foreign service officers, federal employees, 
or family members.
     Estimated Number of Respondents: 16,280.
     Estimated Number of Responses: 16,280.
     Average Time Per Response: 30 minutes.
     Total Estimated Burden Time: 8,140 hours.
     Frequency: As needed.
     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 for 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:
    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: October 16, 2013.
Ernest E. Davis,
Director of Medical Clearances, Office of Medical Services, Department 
of State.
[FR Doc. 2013-25619 Filed 10-28-13; 8:45 am]
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