[Federal Register Volume 81, Number 89 (Monday, May 9, 2016)]
[Notices]
[Pages 28112-28113]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10834]


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DEPARTMENT OF STATE

[Public Notice: 9552]


Notice of Information Collection Under OMB Emergency Review: 
Employee Self Certification and Ability To Perform in Emergencies 
(ESCAPE) Program

ACTION: Notice of request for emergency OMB approval and public 
comment.

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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 (5 CFR 
1320.13). 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 by May 23, 
2016. If granted, the emergency approval is only valid for 180 days. 
The Department plans to follow this emergency request with a submission 
for a 3 year approval through OMB's normal PRA clearance process (5 CFR 
1320.10).

DATES: All public comments must be received by May 16, 2016.

ADDRESSES: Direct any comments on this emergency request to both the 
Department of State Desk Officer in the Office of Information and 
Regulatory Affairs at the Office of Management and Budget (OMB) and to 
the Office of Medical Services, U.S. Department of State. All public 
comments must be received by May 16, 2016.
    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.
    You may submit comments to the Office of Medical Services, U.S. 
Department of State by the following methods:
     Web: Persons with access to the Internet may comment on 
this notice by going to www.Regulations.gov. You can search for the 
document by entering ``Docket Number: DOS-2016-0026'' in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
form.
     Email: Catherine M. Kazmin at [email protected]. You must 
include Emergency Submission Comment on ``Employee Self Certification 
And Ability To Perform In Emergencies'' (ESCAPE) Program in the subject 
line of your message.
    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 Catherine M. Kazmin who may be reached on 703-
875-5413 or at [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Employee Self 
Certification And Ability To Perform In Emergencies (ESCAPE) Program.
     OMB Control Number: None.
     Type of Request: Emergency Review.
     Originating Office: Office of Medical Services (MED).
     Form Number: DS-6570.
     Respondents: Non-federal individuals being considered for 
contracted assignments at ESCAPE-designated posts.
     Estimated Number of Respondents: 200 annually.
     Estimated Number of Responses: 200 annually.
     Average Time per Response: 30 minutes.
     Total Estimated Burden Time: 100 hours annually.
     Frequency: One time per deployment to ESCAPE post.
     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.

[[Page 28113]]

     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:
    The goal of the ``Employee Self Certification And Ability To 
Perform In Emergencies'' (ESCAPE) program is to ensure that non-federal 
individuals who are being considered for a contracted position at a 
designated post are capable of the unique, potentially challenging and 
life threatening conditions at ESCAPE posts. These individuals are 
required to review with a medical provider the pre-deployment 
acknowledgement form (DS-6570) and then affirm that they understand the 
physical rigors and security conditions at these posts and can perform 
any specified emergency functions. Medical information is collected 
from medical providers and respondents during this review. The 
Department of State is requesting an emergency review and approval of 
this Information Collection so non-federal individuals who will be 
selected for assignments in June, 2016 can provide completed pre-
deployment medical information. This Collection is allowed under the 
Foreign Service Act of 1980 (22 U.S.C. 3901) and the Basic Authorities 
Act of 1956 (22 U.S.C. 2651).
    Methodology:
    Information will be collected using a form (DS-6570) during a 
medical review between a non-federal individual and his/her medical 
provider. The individual will submit the completed form, signed by both 
the individual and provider, to the Office of Medical Services at the 
U.S. Department of State.

    Dated: May 4, 2016.
Ernest E. Davis,
Director of Medical Clearances, Office of Medical Services, Department 
of State.
[FR Doc. 2016-10834 Filed 5-6-16; 8:45 am]
 BILLING CODE 4710-36-P