[Federal Register Volume 79, Number 27 (Monday, February 10, 2014)]
[Notices]
[Page 7717]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-02723]


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PEACE CORPS


Information Collection Request; Submission for OMB Review

AGENCY: Peace Corps.

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 
Extension without change 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, without change, of currently approved 
information collection, Peace Corps Volunter Health History Form (OMB 
0420-0510). This process is conducted in accordance with 5 CFR 1320.10. 
Peace Corps received no comments during the 60-day notice.

DATES: Comments regarding this collection must be received on or before 
March 12, 2014.

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 email to: [email protected] or fax to: 202-395-3086. Attention: Desk Officer 
for Peace Corps.

FOR FURTHER INFORMATION CONTACT: Denora Miller, FOIA/Privacy Act 
Officer, Peace Corps, 1111 20th Street NW., Washington, DC 20526, (202) 
692-1236, or email at 
pcfr@mailto:[email protected].

SUPPLEMENTARY INFORMATION: 
    Method: The Health History Form will be completed online in an 
interactive process in which only questions relevant to each 
Applicant's medical history (based on responses to previous questions) 
are presented.
    Title: Peace Corps Volunter Health History form (PC 1789).
    OMB Control Number: 0420-0510.
    Type of Request: Extension without change of a currently approved 
collection.
    Affected Public: Individuals or households
    Respondents Obligation To Reply: Voluntary
    Burden to the Public:

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a. Estimated number of respondents......  10,000
b. Estimated average burden per response  45 minutes
c. Frequency of response................  one time
d. Annual reporting burden..............  7,500 hours
e. Estimated annual cost to respondents.  Indeterminate
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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 History Form is used to document the 
medical history of each individual Applicant. It is a self-report of 
pre-existing medical conditions and is used to help determine whether 
the Applicant will, with reasonable accommodation, be able to perform 
the essential functions of a Peace Corps Volunteer and complete a tour 
of service without undue disruption due to health problems.
    Request For Comment: Peace Corps invites comments on whether the 
proposed collection of information is 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 issued in Washington, DC on February 3, 2014.
Denora Miller,
FOIA/Privacy Act Officer, Management.
[FR Doc. 2014-02723 Filed 2-7-14; 8:45 am]
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