[Federal Register Volume 81, Number 90 (Tuesday, May 10, 2016)]
[Notices]
[Pages 28887-28888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10936]


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DEPARTMENT OF JUSTICE

[OMB Number 1105-0099]


United States Marshals Service; Agency Information Collection 
Activities; Proposed Collection Comments Requested; Extension With 
Change, of a Previously Approved Collection USMS Medical Forms

AGENCY: U.S. Marshals Service, Department of Justice.

ACTION: 60-day notice.

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SUMMARY: The Department of Justice (DOJ), U.S. Marshals Service, will 
be submitting the following information collection request to the 
Office of Management and Budget (OMB) for review and approval in 
accordance with the Paperwork Reduction Act of 1995.

DATES: Comments are encouraged and will be accepted for 60 days until 
July 11, 2016.

FOR FURTHER INFORMATION CONTACT: If you have additional comments 
especially on the estimated public burden or associated response time, 
suggestions, or need a copy of the proposed information collection 
instrument with instructions or additional information, please contact 
Nicole Timmons, U.S. Marshals Service, Washington, DC 20530-0001 
(phone: 202-307-5168).

SUPPLEMENTARY INFORMATION: Written comments and suggestions from the 
public and affected agencies concerning the proposed collection of 
information are encouraged. Your comments should address one or more of 
the following four points:

--Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the U.S. Marshals 
Service, including whether the information will have practical utility;
--Evaluate the accuracy of the agency's estimate of the burden of the 
proposed collection of information, including the validity of the

[[Page 28888]]

methodology and assumptions used;
--Evaluate whether and if so how the quality, utility, and clarity of 
the information to be collected can be enhanced; and
--Minimize the burden of the collection of information on those who are 
to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submission of responses.

Overview of This Information Collection

    1. Type of Information Collection: Extension of a currently 
approved collection.
    2. The Title of the Form/Collection: USMS Medical Forms
    3. The agency form number, if any, and the applicable component of 
the Department sponsoring the collection:
    Form Numbers:

--USM-522A Physician Evaluation Report for USMS Operational Employees
--USM-522P Physician Evaluation Report for USMS Operational Employees--
Pregnancy Only
--USM-600 Physical Requirements of USMS District Security Officers
--CSO-012 Request to Reevaluate Court Security Officer's Medical 
Qualification

    Component for all above-listed forms: U.S. Marshals Service.
    4. Affected public who will be asked or required to respond, as 
well as a brief abstract:

--USM-522A Physician Evaluation Report for USMS Operational Employees
    [cir] Affected public: Private sector (Physicians)
    [cir] Brief abstract: This form is completed by an USMS operational 
employee's treating physician to report any illness/injury (other than 
pregnancy) that requires restriction from full performance of duties 
for longer than 80 consecutive hours.
--USM-522P Physician Evaluation Report for USMS Operational Employees 
(Pregnancy Only)
    [cir] Affected public: Private sector (Physicians)
    [cir] Brief abstract: Form USM-522P must be completed by the OB/GYN 
physician of pregnant USMS operational employees to specify any 
restrictions from full performance of duties.
--USM-600 Physical Requirements of USMS District Security Officers
    Affected public: Private sector (Physicians)
    [cir] Brief abstract: It is the policy of the USMS to ensure a law 
enforcement work force that is medically able to safely perform 
therequired job functions. All applicants for law enforcement positions 
must have pre-employment physical examinations; existing District 
Security Officers (DSOs) must recertify that they are physically fit to 
perform the duties of their position each year. DSOs are individual 
contractors, not employees of USMS; Form USM-522 does not apply to 
DSOs.
--CSO-012 Request to Reevaluate Court Security Officer's Qualification
    [cir] Affected public: Private sector (Physicians)
    [cir] Brief abstract: This form is completed by the Court Security 
Officer (CSO)'s attending physician to determine whether a CSO is 
physically able to return to work after an injury, serious illness, or 
surgery. The physician returns the evaluation to the contracting 
company, and if the determination is that the CSO may return to work, 
the CSO-012 is then signed off on by the contracting company and 
forwarded to the USMS for final review by USMS' designated medical 
reviewing official. Court Security Officers are contractors, not 
employees of USMS; Form USM-522A does not apply to CSOs.

    5. An estimate of the total number of respondents and the amount of 
time estimated for an average respondent to respond:

--USM-522A Physician Evaluation Report for USMS Operational Employees

    It is estimated that 208 respondents will complete a 20 minute form 
twice per year.
--USM-522P Physician Evaluation Report for USMS Operational Employees 
(Pregnancy Only)

    It is estimated that 7 respondents will complete a 15 minute form 
twice per year.

--USM-600 Physical Requirements of USMS District Security Officers

    It is estimated that 2,000 respondents will complete a 20 minute 
form.

--CSO-012 Request to Reevaluate Court Security Officer's Medical 
Qualification

    It is estimated that 300 respondents will complete a 30 minute 
form.
    6. An estimate of the total public burden (in hours) associated 
with the collection:

--USM-522A Physician Evaluation Report for USMS Operational Employees

    There are an estimated 139 annual total burden hours associated 
with this collection.

--USM-522P Physician Evaluation Report for USMS Operational Employees 
(Pregnancy Only)

    There are an estimated 4 annual total burden hours associated with 
this collection.

--USM-600 Physical Requirements of USMS District Security Officers

    There are an estimated 667 annual total burden hours associated 
with this collection.

--CSO-012 Request to Reevaluate Court Security Officer's Medical 
Qualification

    There are an estimated 150 annual total burden hours associated 
with this collection.
    Total Annual Time Burden (Hr): 960.
    If additional information is required contact: Jerri Murray, 
Department Clearance Officer, United States Department of Justice, 
Justice Management Division, Policy and Planning Staff, Two 
Constitution Square, 145 N Street NE., 3E.405B, Washington, DC 20530.

    Dated: May 5, 2016.
Jerri Murray,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2016-10936 Filed 5-9-16; 8:45 am]
 BILLING CODE 4410-04-P